Jefferson Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JEFFERSON MEMORIAL HOSPITAL

Practice address

300 S. Preston Street
Ranson, WV 25438-1631

Phone

(304) 728-1600

Fax

(304) 725-9492

NPI assigned

Oct 16, 2006

Last updated

Nov 17, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST VIRGINIA UNIVERSITY HOSPITALS EAST INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roger M. Eitelman

Title

President & Ceo

Phone

(304) 264-1244

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1073693248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S. PRESTON STREET",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381631",
            "telephone_number": "304-728-1600",
            "fax_number": "304-725-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. PRESTON STREET",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381631",
            "telephone_number": "304-728-1600",
            "fax_number": "304-725-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST VIRGINIA UNIVERSITY HOSPITALS EAST INC",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "EITELMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "304-264-1244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "103",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004211",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson County Council on Aging
• Jefferson County Council on Aging
• Jefferson County Council on Aging - JC
• Jefferson County Emergency Services Agency
• Jefferson Med-Peds Inc
• Jefferson Memorial Hospital
• Jefferson Memorial Hospital
• Jefferson Memorial Hospital
• Jefferson Memorial Hospital (Jefferson Medical Center)
• Jefferson Memorial Hospital

• Skilled Nursing Facility in Ranson, WV
• Providers in Ranson, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.