Reynolds Memorial Hospital, Inc.
Organization Active NPI Pulmonary Disease Physician · Glen Dale, WV
NPI 1265040356 · NPPES record last updated Jul 15, 2020
Key facts
- NPI
- 1265040356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- REYNOLDS MEMORIAL HOSPITAL, INC.
- Practice address
- 800 Wheeling Ave
Glen Dale, WV 26038-1660 - Phone
- (304) 843-3307
- NPI assigned
- Jul 15, 2020
- Organization subpart
- No
Authorized official
- Name
- David Frederick Hess
- Title
- Authorized Official
- Phone
- (304) 843-3230
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 6
Practitioners 39
-
Kimberly Lynn Arensberg, PA-C
-
Brittney Baker, PA-C
-
Emily Butler, PA-C
-
Miranda Cook, PA-C
-
Cristyn Rene Davis, MSN, APRN, FNP-C
-
Kristin Hillari Davis, M.D.
-
Halie Autumn Dehnart, PA-C
-
Zachary C Fairbanks, PA-C
-
Hannah Hoover, PA-C
-
Jamie Sue Huggins, CRNA
-
Katie J Inclan, PA-C
-
Abigail Elizabeth Jones, PA-S
-
Samantha Jo Namlik, FNP-C
-
Stephen Michael Patrick, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420000896 | WV | Part B Supplier - Clinic/Group Practice | 9830184530 |
Receives reassigned benefits from 300 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glen Dale, WV; Moundsville, WV; New Martinsville, WV |
National Provider Directory
- Tax ID family
- Francisco Lopez MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | Yes |
Addresses
Primary practice location
800 Wheeling Ave
Glen Dale, WV 26038-1660
Mailing address
PO Box 616
Morgantown, WV 26507-0616
Phone (304) 843-3307
Other names
- Respiratory & Occupational Lung Disease Clinic
Other providers in Glen Dale, WV
- Reynolds Memorial Hospital Inc
- Reynolds Memorial Hospital Inc
- Reynolds Memorial Hospital Inc
- Reynolds Memorial Hospital, Inc
- Reynolds Memorial Hospital, Inc
- Reynolds Memorial Hospital, Inc.
- Reynolds Memorial Hospital, Inc.
- Morgan Joann Rice
- Lori Ann Richards
- Kayla Rickrode-Eberhart
All providers in Glen Dale, WV · Pulmonary Disease Physician 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, 2020. 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.