Active NPI
Reynolds Memorial Hospital Inc
- Home Health Agency
- Glen Dale, WV
National Provider Identifier
1013905702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 63
- Legal business name
- REYNOLDS MEMORIAL HOSPITAL INC
- Practice address
- 800 Wheeling Ave
Glen Dale, WV 26038-1660 - Phone
- (304) 843-3211
- Fax
- (304) 843-3202
- NPI assigned
- Oct 7, 2005
- Last updated
- Jan 11, 2017
- Organization subpart
- Yes
- Parent organization
- REYNOLDS MEMORIAL HOSPITAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David F Hess
- Title
- Chief Executive Officer
- Phone
- (304) 845-3211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 63 | WV | Primary |
Addresses
Primary practice location
800 Wheeling Ave
Glen Dale, WV 26038-1660
Mailing address
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001309001 | Medicaid | WV |
National Provider Directory
National Provider Directory- Part of
- Reynolds Mem Hosp DP S
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba MBA Physician Billing
- Surgery Physician
- Wheeling, WV
- NPI 1457657991
Member Of
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484092800000",
"number": "1013905702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WHEELING AVE",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "260381660",
"telephone_number": "304-843-3211",
"fax_number": "304-843-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WHEELING AVE",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "260381660",
"telephone_number": "304-843-3211",
"fax_number": "304-843-3202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REYNOLDS MEMORIAL HOSPITAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REYNOLDS MEMORIAL HOSPITAL INC",
"enumeration_date": "2005-10-07",
"last_updated": "2017-01-11",
"status": "A",
"authorized_official_last_name": "HESS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "304-845-3211",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WV",
"license": "63",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001309001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Dale, WV
- Jacqueline Olivia Raber, APRN
- Randall P Weyrich MD Apmc
- Tayler Reed, STUDENT
- Renee M Rennick, PA-C
- Reynold's Memorial Hospital Inc
- Reynolds Memorial Hospital Inc
- Reynolds Memorial Hospital Inc
- Reynolds Memorial Hospital, Inc
- Reynolds Memorial Hospital, Inc
- Reynolds Memorial Hospital, Inc. (Respiratory & Occupational Lung Disease Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.