MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
NPI 1245839802
Hospice Care, Community Based in Sistersville, WV

NPI Status: Active since October 23, 2020

Contact Information

314 S WELLS ST
SISTERSVILLE, WV
ZIP 26175
Phone: (304) 652-2611
Fax: (304) 652-1448

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 51D2310236
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-28-2026

About MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC

This page provides the complete NPI Profile along with additional information for Marietta Memorial Hospital Of Tyler County Inc, a provider established in Sistersville, West Virginia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1245839802 assigned on October 2020. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Paul Westbrock (Vp, Legal Affairs)

NPI
1245839802
Provider Name
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
Entity Type
Organization
Location Address
314 S WELLS ST SISTERSVILLE, WV 26175
Location Phone
(304) 652-2611
Location Fax
(304) 652-1448
Mailing Address
C/O PAUL WESTBORCK 314 S WELLS ST SISTERSVILLE, WV 26175
Mailing Phone
(304) 652-2611
Mailing Fax
(304) 652-1448
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-23-2020
Last Update Date
10-23-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO
  • my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 9200 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Premier Silver 0 - PPO
  • my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 2000 - PPO
  • my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Silver 6000 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAUL WESTBROCK

Authorized Official Title
VP, LEGAL AFFAIRS
Authorized Official Phone
(740) 374-1581

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D2310236
Facility Type
Physician Office
Certificate Effective Date
August 29, 2024
Certificate Expiration Date
August 28, 2026
Laboratory Director
DR. STEPHEN STANLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marietta Memorial Hospital Of Tyler County Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245839802, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 6 + 3 + 1 + 8 + 8 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1245839802.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245839802, enumerated as an "organization" on October 23, 2020.

The provider is located at 314 S WELLS ST SISTERSVILLE, WV 26175 and the phone number is (304) 652-2611.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc. and Highmark. Please consult your insurance carrier or call the provider to verify.