City of Sistersville

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

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

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Brandon W Chadock

Title

Ao

Phone

(304) 652-2611

Specialties & licenses 1

Addresses

Other names 1

• Sistersville General Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1861495335",
    "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": "2005-05-27",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "CHADOCK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "304-652-2611"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WV",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sistersville General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sistersville General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Sistersville
• City of Sistersville
• City of Sistersville
• City of Sistersville
• City of Sistersville
• Camryn Marie Clegg
• Sunni Marie Danielson, PTA
• Alexandra Dieringer
• Gabrielle Marie Dill
• Dr. Richard B. Stender

• Critical Access Hospital in Sistersville, WV
• Providers in Sistersville, WV by specialty
• Critical Access Hospital in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.