Summersville Regional Medical Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

61 Issued in WV

Legal business name

SUMMERSVILLE REGIONAL MEDICAL CENTER

Practice address

400 Fairview Heights Rd
Summersville, WV 26651-9308

Phone

(304) 872-2891

Fax

(304) 872-6854

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Deborah Alice Kincell

Title

Revenue Cycle Director

Phone

(304) 883-0252

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Summersville Memorial Hospital Former legal business name

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1174513808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-2891",
            "fax_number": "304-872-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-2891",
            "fax_number": "304-872-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSVILLE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "KINCELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "304-883-0252"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "61",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "61",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001243001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summersville Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Summersville Out Patient Center
• Summersville Outpatient Center
• Summersville Outpatient Center
• Summersville Pediatrics Inc.
• Summersville Regional Medical Center
• Summersville Regional Medical Center
• Summersville Regional Medical Center (SMH Pharmacy)
• Summersville Regional Medical Center
• Summersville Skin Care Center Inc
• Summersville SNF LLC (Summersville Rehab & Nursing Center)

• Nursing Facility/Intermediate Care Facility in Summersville, WV
• Providers in Summersville, WV by specialty
• Nursing Facility/Intermediate Care Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.