NPIMap

Organization Active NPI

State of West Virginia Welch Emergency Hospital

Doing business as Welch Community Hospital-MDGRP

  • Specialist
  • Welch, WV
National Provider Identifier
1154476513
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL
Doing business as
Welch Community Hospital-MDGRP
Practice address
454 McDowell St
Welch, WV 24801-2029
Phone
(304) 436-8708
Fax
(304) 436-8716
NPI assigned
Jan 24, 2007
Last updated
Apr 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Mark Simpson
Title
Ceo
Phone
(304) 436-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

454 McDowell St
Welch, WV 24801-2029

Mailing address

454 McDowell St
Welch, WV 24801-2029
Phone (304) 436-8708

Other names 1

  • Welch Community Hospital-MDGRP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1154476513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012029",
            "telephone_number": "304-436-8708",
            "fax_number": "304-436-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012029",
            "telephone_number": "304-436-8708",
            "fax_number": "304-436-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-436-8680"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welch Community Hospital-MDGRP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Welch Community Hospital-MDGRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Welch, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.