NPIMap

Organization Active NPI

Wetzel County Hospital Association

Doing business as Wetzel Primary Care

  • Rural Health Clinic/Center
  • New Martinsville, WV
National Provider Identifier
1609272343
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WETZEL COUNTY HOSPITAL ASSOCIATION
Doing business as
Wetzel Primary Care
Practice address
3 E Benjamin Dr Ste B
New Martinsville, WV 26155-2705
Phone
(304) 455-8082
Fax
(304) 455-8165
NPI assigned
Nov 7, 2014
Last updated
Nov 7, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WETZEL COUNTY HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Mr. Edwin Szewczyk, CPA
Title
Cfo
Phone
(304) 455-8013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

3 E Benjamin Dr Ste B
New Martinsville, WV 26155-2705

Mailing address

3 E Benjamin Dr Ste B
New Martinsville, WV 26155-2705
Phone (304) 455-8082

Other names 1

  • WETZEL PRIMARY CARE Doing business as

Medicare participation

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

National Provider Directory

National Provider Directory
Part of
Wetzel Co Hosp PVT Phys

Locations

100 Paducah Dr
New Martinsville, WV 26155
Phone (304) 455-3611

100 Paducah Dr
#B
New Martinsville, WV 26155
Phone (304) 447-2075

261 Monroe Ave
North Martinsvlle, WV 26155
Phone (304) 455-4944

295 N State Route 2
North Martinsvlle, WV 26155
Phone (304) 455-2530

297 N State Route 2
North Martinsvlle, WV 26155
Phone (304) 455-5861

3 E Benjamin Dr
Ste B
North Martinsvlle, WV 26155
Phone (304) 455-6003

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2020 Change of OwnershipThis provider was the seller Wetzel Primary CareCCN 513419, WV, NPI 1255963120

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1609272343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E BENJAMIN DR STE B",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552705",
            "telephone_number": "304-455-8082",
            "fax_number": "304-455-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E BENJAMIN DR STE B",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552705",
            "telephone_number": "304-455-8082",
            "fax_number": "304-455-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETZEL COUNTY HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WETZEL COUNTY HOSPITAL ASSOCIATION",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "SZEWCZYK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-455-8013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WETZEL PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Martinsville, WV

Sources for this page

Verify at the official NPI Registry.