Organization Active NPI

Wetzel County Hospital Association

Doing business as Middle Island Health Clinic

  • Rural Health Clinic/Center
  • Middlebourne, WV
National Provider Identifier
1639216039
Registry record updated Jul 18, 2012
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
Middle Island Health Clinic
Practice address
100 Fair Ave
Middlebourne, WV 26149-9622
Phone
(304) 758-5100
Fax
(304) 758-4646
NPI assigned
Feb 1, 2007
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Edwin Szewczyk
Title
Cfo
Phone
(304) 455-8013

Specialties & licenses 1

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

Addresses

Primary practice location

100 Fair Ave
Middlebourne, WV 26149-9622

Mailing address

PO Box 244
New Martinsville, WV 26155-0244
Phone (304) 455-8006

Other names 1

  • Middle Island Health Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1639216039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261550244",
            "telephone_number": "304-455-8006",
            "fax_number": "304-455-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIR AVE",
            "city": "MIDDLEBOURNE",
            "state": "WV",
            "postal_code": "261499622",
            "telephone_number": "304-758-5100",
            "fax_number": "304-758-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETZEL COUNTY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-07-18",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Island Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlebourne, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.