NPIMap

Organization Active NPI

Wetzel County Hospital, Inc.

Doing business as Pine Grove Health Clinic

  • Rural Health Clinic/Center
  • Pine Grove, WV
National Provider Identifier
1245846765
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WETZEL COUNTY HOSPITAL, INC.
Doing business as
Pine Grove Health Clinic
Practice address
12960 Shortline Hwy
Pine Grove, WV 26419-8221
Phone
(304) 889-3344
Fax
(304) 889-3366
NPI assigned
Sep 21, 2020
Last updated
Sep 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
David Frederick Hess, MD
Title
Ceo
Phone
(304) 843-3230

Specialties & licenses 1

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

Addresses

Primary practice location

12960 Shortline Hwy
Pine Grove, WV 26419-8221

Mailing address

PO Box 244
New Martinsville, WV 26155-0244
Phone (304) 455-8000

Other names 1

  • Pine Grove Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wetzel County Hospital Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12960 Shortline Hwy
Pine Grove, WV 26419
Phone (304) 889-3344

Practitioners & affiliated clinicians

Practitioners 114

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1245846765",
    "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": "304-455-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12960 SHORTLINE HWY",
            "city": "PINE GROVE",
            "state": "WV",
            "postal_code": "264198221",
            "telephone_number": "304-889-3344",
            "fax_number": "304-889-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETZEL COUNTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-843-3230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Grove Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Grove, WV

Sources for this page

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