Active NPI
Wetzel County Hospital Association
Doing business as New Martinsville Health Clinic
- Rural Health Clinic/Center
- New Martinsville, WV
National Provider Identifier
1225176563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2012
- Organization subpart
- Yes
- Parent organization
- WETZEL COUNTY HOSPITAL ASSOCIATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001221007 | Medicaid | WV |
Other names 1
- New Martinsville Health Clinic
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
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2020 | Change of Ownership | Wetzel Internal Medicine |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Wetzel Internal Medicine
- Rural Health Clinic/Center
- New Martinsville, WV
- NPI 1548893068
Sold to, 2020-07-01
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
- Wetzel County Homecare, LLC (Wetzel County HomeCare)
- Wetzel County Hospital (Wetzel County Homecare)
- Wetzel County Hospital (Wetzel County Hospital Home Infusion Services)
- Wetzel County Hospital
- Wetzel County Hospital Association
- Wetzel County Hospital Association
- Wetzel County Hospital Association (Wetzel Primary Care)
- Wetzel County Hospital Association (Wetzel County Hospital Physicians)
- Wetzel County Hospital Association
- Wetzel County Hospital Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.