Organization Active NPI

Wetzel County Hospital Association

Doing business as New Martinsville Health Clinic

  • Rural Health Clinic/Center
  • New Martinsville, WV
National Provider Identifier
1225176563
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WETZEL COUNTY HOSPITAL ASSOCIATION
Doing business as
New Martinsville Health Clinic
Practice address
150 Paducah Drive
New Martinsville, WV 26155-2710
Phone
(304) 455-8190
Fax
(304) 455-8131
NPI assigned
Feb 1, 2007
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
WETZEL COUNTY HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Mr. Edwin Szewczyk
Title
Cfo
Phone
(304) 455-8013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

150 Paducah Drive
New Martinsville, WV 26155-2710

Mailing address

PO Box 244
New Martinsville, WV 26155-0244
Phone (304) 455-8006

Other identifiers 1

IdentifierTypeStateIssuer
0001221007MedicaidWV

Other names 1

  • New Martinsville Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Richard Scott MD

Locations

150 Paducah Dr
New Martinsville, WV 26155
Phone (304) 455-8190

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2020 Change of OwnershipThis provider was the seller Wetzel Internal MedicineCCN 513987, WV, NPI 1548893068

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1225176563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261550244",
            "telephone_number": "304-455-8006",
            "fax_number": "304-455-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PADUCAH DRIVE",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552710",
            "telephone_number": "304-455-8190",
            "fax_number": "304-455-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETZEL COUNTY HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WETZEL COUNTY HOSPITAL ASSOCIATION",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "SZEWCZYK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-455-8013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001221007",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Martinsville Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Martinsville, WV

Sources for this page

Verify at the official NPI Registry.