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Organization Active NPI

Webster County Memorial Hospital

  • Rural Acute Care Hospital
  • Webster Springs, WV
National Provider Identifier
1568439552
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
136 Issued in WV
Legal business name
WEBSTER COUNTY MEMORIAL HOSPITAL
Practice address
324 Miller Mountain Drive
Webster Springs, WV 26288
Phone
(304) 847-5682
Fax
(304) 847-2936
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Mrs. Alisha D Dancy
Title
Billing Supervisor
Phone
(304) 847-5682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 136 WV Primary

Addresses

Primary practice location

324 Miller Mountain Drive
Webster Springs, WV 26288

Mailing address

PO Box 312
324 Miller Mountain Drive
Webster Springs, WV 26288
Phone (304) 847-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2022 Change of OwnershipThis provider was the seller Vandalia Health Rural Health ClinicCCN 513407, WV, NPI 1417621723

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1568439552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "address_2": "324 MILLER MOUNTAIN DRIVE",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "26288",
            "telephone_number": "304-847-5682",
            "fax_number": "304-847-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MILLER MOUNTAIN DRIVE",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "26288",
            "telephone_number": "304-847-5682",
            "fax_number": "304-847-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "DANCY",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "304-847-5682",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "WV",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Springs, WV

Sources for this page

Verify at the official NPI Registry.