Organization Active NPI

Wetzel County Hospital, Inc.

  • Rural Acute Care Hospital
  • New Martinsville, WV
National Provider Identifier
1376175240
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
WETZEL COUNTY HOSPITAL, INC.
Practice address
3 E Benjamin Dr
New Martinsville, WV 26155-2758
Phone
(304) 455-8000
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Authorized official

Name
Dr. David F Hess, MD
Title
President & Ceo
Phone
(304) 455-8000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Rural Acute Care Hospital 282NR1301X Primary
Clinical Medical Laboratory 291U00000X
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

3 E Benjamin Dr
New Martinsville, WV 26155-2758

Mailing address

3 E Benjamin Dr
New Martinsville, WV 26155-2758
Phone (304) 455-8000

Other names 1

  • Wetzel County Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com Other
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200503000003 WV Part A Provider - Hospital 4284065400 Practice locations: New Martinsville, WV; Paden City, WV
O20200503000008 WV Part A Provider - Hospital 4284065400 Practice locations: New Martinsville, WV

Hospital certification: CCN 510072

Legal name
WETZEL COUNTY HOSPITAL INC
Doing business as
WETZEL COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 12, 2005
Beds
58
Ownership / control type
Local
Most recent change of ownership
Jul 1, 2020 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 23, 2019 in WV
Enrollment address
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Main/Primary Hospital Location
Hospital subgroups
General

Hospital certification: CCN 51U072

Legal name
WETZEL COUNTY HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Aug 23, 2019 in WV
Enrollment address
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Other Hospital Practice Location
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Wetzel County HospitalCCN 510072
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alex Incian Individual W-2 Managing Employee Jun 23, 2014
Orton C Armstrong Individual Corporate Director Jan 1, 2021
Larry Lemon Individual Corporate Director Sep 1, 2021
Jillann Westbrook Individual W-2 Managing EmployeeController Jul 1, 2020
Donald Blum Individual Corporate Director Jul 1, 2020
Rob Rothlisberger Individual Corporate Director Jan 1, 2022
Deborah Burge Individual W-2 Managing EmployeeManager, Enterprise PFS Jun 1, 2021
W-2 Managing Employee Jun 1, 2021
West Virginia United Health System Inc Organization, Morgantown, WV Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2020 100%
Jessica Huffman Individual W-2 Managing Employee Mar 12, 2018
Kyle a Pierson Individual W-2 Managing Employee Dec 30, 2018
W-2 Managing Employee Jul 19, 2024
William Bane Individual W-2 Managing Employee Jul 19, 2024
Paul Barcus Individual Corporate Director Jul 1, 2020
Sean Smith Individual W-2 Managing Employee Jan 1, 2021
Corporate Director Jan 1, 2021
Marjean Kennedy Individual Corporate Director May 17, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

Affiliated clinicians 277

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 277

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697846400000",
    "number": "1376175240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E BENJAMIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552758",
            "telephone_number": "304-455-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E BENJAMIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552758",
            "telephone_number": "304-455-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETZEL COUNTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "304-455-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Parkway",
            "address_2": "Suite 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wetzel County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Martinsville, WV

Sources for this page

Verify at the official NPI Registry.