Summersville Regional Medical Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SUMMERSVILLE REGIONAL MEDICAL CENTER

Practice address

400 Fairview Heights Rd
Summersville, WV 26651-9308

Phone

(304) 872-8402

Fax

(304) 872-6854

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Deborah A Kincell

Title

Revenue Cycle Director

Phone

(304) 883-0220

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Summersville Memorial Hospital Commission Former legal business name

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1407031446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-8402",
            "fax_number": "304-872-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-8402",
            "fax_number": "304-872-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSVILLE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "KINCELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "304-883-0220"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WV",
            "license": "61",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034931000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Summersville Memorial Hospital Commission",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Summersville Outpatient Center
• Summersville Outpatient Center
• Summersville Pediatrics Inc.
• Summersville Regional Medical Center
• Summersville Regional Medical Center
• Summersville Regional Medical Center (SMH Pharmacy)
• Summersville Regional Medical Center
• Summersville Skin Care Center Inc
• Summersville SNF LLC (Summersville Rehab & Nursing Center)
• Summersville Urology Associates, Inc. (David F. Meriwether, MD)

• Rural Health Clinic/Center in Summersville, WV
• Providers in Summersville, WV by specialty
• Rural Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.