SISTERSVILLE GENERAL MEDICAL CENTER
NPI 1508465162
Clinic/Center - Rural Health in Middlebourne, WV
About Sistersville General Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SISTERSVILLE GENERAL MEDICAL CENTER (NPI 1508465162) is a healthcare organization registered as a rural health in Middlebourne, West Virginia and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Paul Westbrock, Vp, Legal Affairs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sistersville General Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Sistersville General Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 Waiver 51D1073364
Sistersville General Medical Center · Middlebourne, WVFrequently 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 1508465162. It was assigned to this organization in the NPPES registry on October 23, 2020. The provider is doing business as Sistersville General Medical Center.
Where is Marietta Memorial Hospital Of Tyler County Inc located?
Marietta Memorial Hospital Of Tyler County Inc is located at 100 Fair St, Middlebourne, WV 26149. The listed phone number is (304) 758-5000.
What is Marietta Memorial Hospital Of Tyler County Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Marietta Memorial Hospital Of Tyler County Inc enrolled in Medicare?
Yes. Marietta Memorial Hospital Of Tyler County Inc is registered in the Medicare PECOS enrollment system.
When is Marietta Memorial Hospital Of Tyler County Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (West Virginia, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Marietta Memorial Hospital Of Tyler County Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 11 Medicare specialties reassign their Medicare billing to Marietta Memorial Hospital Of Tyler County Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (11), Nurse Practitioner (9) and Family Practice (8). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Marietta Memorial Hospital Of Tyler County Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D1073364) is associated with this NPI, valid through September 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Marietta Memorial Hospital Of Tyler County Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and Highmark Blue Cross Blue Shield West Virginia list Marietta Memorial Hospital Of Tyler County Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Marietta Memorial Hospital Of Tyler County Inc was last updated on May 7, 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.
# Sistersville General Medical Center · NPI 1508465162
Rural Health organization in Middlebourne, West Virginia. Organization record, active in the CMS NPPES registry since October 23, 2020.
## Identity
- **NPI:** 1508465162 (Entity type: Organization)
- **Enumerated:** October 23, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Marietta Memorial Hospital Of Tyler County Inc
- **Organization subpart:** No
- **Authorized official:** Paul Westbrock, VP, LEGAL AFFAIRS
## Practice location
- **Address:** 100 FAIR ST, Middlebourne, WV 26149-9525
- **Phone:** (304) 758-5000 · **Fax:** (304) 758-5022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, West Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 38 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (11), Nurse Practitioner (9), Family Practice (8); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1508465162/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508465162) · Data from the CMS NPPES public registry.