City of Sistersville

Primary specialty

Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X

License

117 Issued in WV

Legal business name

CITY OF SISTERSVILLE

Doing business as

Sistersville General Hospital

Practice address

314 S Wells St
Sistersville, WV 26175-1098

Phone

(304) 652-2611

Fax

(304) 652-1448

NPI assigned

Nov 14, 2008

Last updated

Nov 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Keith Lowther, MBA

Title

Ceo

Phone

(304) 447-2501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sistersville General Hospital Doing business as

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1568616605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S WELLS ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751098",
            "telephone_number": "304-652-2611",
            "fax_number": "304-652-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S WELLS ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751098",
            "telephone_number": "304-652-2611",
            "fax_number": "304-652-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SISTERSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "LOWTHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-447-2501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "WV",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002178002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sistersville General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian M Camerlin, PHARMD
• Lindsay Raye Camerlin, PHARMD
• Robert N. Christen II, DO
• City of Sistersville
• City of Sistersville
• City of Sistersville (Journey Hospice)
• City of Sistersville (Sistersville Rural Health Clinic)
• City of Sistersville (Sistersville General Hospital)
• Camryn Marie Clegg
• Sunni Marie Danielson, PTA

• Clinic/Center in Sistersville, WV
• Providers in Sistersville, WV by specialty
• Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.