Dignity Hospice of Southern West Virginia Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Chapmanville, WV
NPI 1225324288 · NPPES record last updated Jul 15, 2014
Key facts
- NPI
- 1225324288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC.
- Practice address
- 557 Main Street
Chapmanville, WV 25508-4304 - Phone
- (304) 855-4764
- Fax
- (304) 855-7407
- NPI assigned
- Jun 28, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC.
Authorized official
- Name
- Mrs. Susan P Gore
- Title
- Accounting Director
- Phone
- (304) 855-4764
Other NPIs with the same Medicare PAC ID 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141117001526 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779686118 | Practice locations: Chapmanville, WV |
National Provider Directory
- Part of
- Dignity Hospice of Southern
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
557 Main Street
Chapmanville, WV 25508-4304
Mailing address
PO Box 4304
557 Main Street
Chapmanville, WV 25508
Phone (304) 855-4764
Other names
- Dignity Medical Equipment
Other providers in Chapmanville, WV
- Mark Hoyt Davis
- David Joseph Deraimo
- Caine Thomas Dials
- Dignity Hospice O Southern WV
- Dignity Hospice of Southern West Virginia Inc
- Dignity Hospice of Southern West Virginia Inc.
- Dignity Hospice of Southern West Virginia, Inc.
- Casie Marie Dillon
- Leslie Dillon
- Ella Dingess
All providers in Chapmanville, WV · Durable Medical Equipment & Medical Supplies in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.