PROFESSIONAL SERVICES GROUP
NPI 1144800673
Family Medicine in Sistersville, WV

Active since April 09, 2021CLIA Certified · 2 labs
314 S WELLS ST, SISTERSVILLE, WV 26175(304) 652-2611 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2021, May 7, 2021, Apr 9, 2021 (3 updates tracked since 2021).

About Professional Services Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL SERVICES GROUP (NPI 1144800673) is a healthcare organization registered as a family medicine in Sistersville, West Virginia and active in the NPI registry since April 2021. The organization holds 2 active CLIA laboratory certificates and lists Paul G Westbrock, Vp, Legal Affairs, as its authorized official.

NPPES Registry Identity

NPI1144800673
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
Location Address314 S WELLS STSistersville, WV 26175-1098
Mailing AddressC/o Paul Westbrock, 314 S Wells StSistersville, WV 26175 · (740) 374-1581
Organization SubpartNo
Authorized OfficialPaul G WestbrockVp, Legal Affairs · (740) 374-1581
Enumeration DateApril 9, 2021
Last NPPES UpdateMay 14, 20213 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
NPI 1144800673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
314 S WELLS ST, Sistersville, WV 26175

Other Names 1

Other NameProfessional Services Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 51D0236132

Marietta Memorial Hospital Of Tyler County Inc Dba Sistersville General Hospital · Sistersville, WV
Active · expires Mar 2, 2028
CLIA Number51D0236132
Laboratory TypeHospital
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorDr. Matthew J. Macatol
Laboratory Phone(304) 447-2533
Laboratory LocationMarietta Memorial Hospital Of Tyler County Inc Dba Sistersville General Hospital314 S Wells St, Sistersville, WV 26175
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 51D2310236

Marietta Memorial Hospital · Sistersville, WV
Active · expires Aug 28, 2026
CLIA Number51D2310236
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorDr. Stephen Stanley
Laboratory Phone(304) 447-2447
Laboratory LocationMarietta Memorial Hospital314 S Wells St Ste 100, Sistersville, WV 26175
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
314 S WELLS ST
SISTERSVILLE, WV 26175
Emergency Medicine
314 S WELLS ST
SISTERSVILLE, WV 26175
Medicare Defined Swing Bed Unit
314 S WELLS ST
SISTERSVILLE, WV 26175
Hospice Care, Community Based
314 S WELLS ST
SISTERSVILLE, WV 26175
Physical Therapist
314 S WELLS ST
SISTERSVILLE, WV 26175
Clinic/Center (Critical Access Hospital)
314 S WELLS ST
SISTERSVILLE, WV 26175
Internal Medicine
314 S WELLS ST
SISTERSVILLE, WV 26175
Emergency Medicine
314 S WELLS ST
SISTERSVILLE, WV 26175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marietta Memorial Hospital Of Tyler County Inc's NPI number?

The NPI number for Marietta Memorial Hospital Of Tyler County Inc is 1144800673. It was assigned to this organization in the NPPES registry on April 9, 2021. The provider is also known as Professional Services Group.

Where is Marietta Memorial Hospital Of Tyler County Inc located?

Marietta Memorial Hospital Of Tyler County Inc is located at 314 S Wells St, Sistersville, WV 26175. The listed phone number is (304) 652-2611.

What is Marietta Memorial Hospital Of Tyler County Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Marietta Memorial Hospital Of Tyler County Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Marietta Memorial Hospital Of Tyler County Inc was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.