City of Sistersville

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

CITY OF SISTERSVILLE

Practice address

314 S Wells St
Sistersville, WV 26175-1098

Phone

(304) 652-2611

Fax

(304) 652-1448

NPI assigned

Sep 11, 2006

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SISTERSVILLE GENERAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Brandon W Chadock

Title

Ao

Phone

(304) 652-2611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Swing Bed Unit Other name

Part of

Sisterville General Hos

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1194829374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SISTERSVILLE GENERAL HOSPITAL",
            "address_2": "314 S WELLS ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751098",
            "telephone_number": "304-652-2611",
            "fax_number": "304-652-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S WELLS ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751098",
            "telephone_number": "304-652-2611",
            "fax_number": "304-652-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SISTERSVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERSVILLE GENERAL HOSPITAL",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "CHADOCK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "304-652-2611"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002178000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mandy Boswell
• Stephanie Brown
• Brian M Camerlin, PHARMD
• Lindsay Raye Camerlin, PHARMD
• Robert N. Christen II, DO
• City of Sistersville
• City of Sistersville (Sistersville General Hospital)
• City of Sistersville (Journey Hospice)
• City of Sistersville (Sistersville Rural Health Clinic)
• City of Sistersville (Sistersville General Hospital)

• Medicare Defined Swing Bed Hospital Unit in Sistersville, WV
• Providers in Sistersville, WV by specialty
• Medicare Defined Swing Bed Hospital Unit in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.