State of West Virginia Welch Emergency Hospital
Organization Active NPI Specialist · Welch, WV
NPI 1154476513 · NPPES record last updated Apr 2, 2020
Key facts
- NPI
- 1154476513
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL
- Practice address
- 454 McDowell St
Welch, WV 24801-2029 - Phone
- (304) 436-8708
- Fax
- (304) 436-8716
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Mark Simpson
- Title
- Ceo
- Phone
- (304) 436-8680
Practitioners 13
-
David R Carr, D.O.
-
David A Eells, MD
-
Zaki M Elsarrag, MD
-
Sandra L Estep, FNP-BC
-
Eugene F Johnson Jr., D.O.
-
Sherwood P Leo, M.D.
-
Chandra Prakash Sharma, M.D.
-
Dennis C Tumbokon, M.D.
-
Farzaneh Mohammadi, M.D.
-
Salwa Mohamed Salih, M.D.
National Provider Directory
Locations
772 Virginia Ave
Welch, WV 24801
Phone (304) 436-8488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001722927 | Other | WV | DR. TUMBOKON-BCBS |
| 0094796000 | Medicaid | WV | |
| 0093834000 | Medicaid | WV | |
| 000025528 | Other | WV | DR. SULTAN-BCBS |
| 0094692000 | Medicaid | WV |
Other names
- Welch Community Hospital-MDGRP
Other providers in Welch, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.