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MOUNTAINEER HEALTHCARE FOR WOMEN
NPI 1669633962
Obstetrics & Gynecology in Weston, WV

Active since June 19, 2008CLIA 39D0952645 · Waiver
66 HOSPITAL PLZ, SUITE 103, WESTON, WV 26452(304) 269-3108(304) 269-3109 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mountaineer Healthcare For Women NPPES

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

MOUNTAINEER HEALTHCARE FOR WOMEN (NPI 1669633962) is a healthcare organization registered as an obstetrics & gynecology in Weston, West Virginia and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists David D Shaffer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669633962
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSTONEWALL JACKSON MEMORIAL HOSPITAL
Location Address66 HOSPITAL PLZ, SUITE 103Weston, WV 26452-8552
Mailing Address230 Hospital PlzWeston, WV 26452-8558 · (304) 269-8000 · Fax (304) 269-8090
Phone(304) 269-3108
Fax(304) 269-3109
Organization SubpartNo
Authorized OfficialDavid D ShafferAdministrator · (304) 269-8000
Enumeration DateJune 19, 2008
Last NPPES UpdateJune 26, 2008
✔ NPI 1669633962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WV · 20690
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
66 HOSPITAL PLZ, Weston, WV 26452
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Other Names 1

Doing Business AsMountaineer Healthcare For Women

Other Identifiers 2

Medicare PIN5100381WV
Medicaid0001417002WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 39D0952645

Mountaineer Healthcare For Women · Weston, WV
Active · expires Feb 24, 2028
CLIA Number39D0952645
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorSarah G. Weaver
Laboratory Phone(304) 269-3108
Laboratory LocationMountaineer Healthcare For Women66 Hospital Plaza, Weston, WV 26452
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PAULA ELIZABETH GALLOWAY DO
Surgery
66 HOSPITAL PLZ, SUITE 102
WESTON, WV 26452
Lewis County (304) 269-6004
VICKI LEE SMITH CNM
Advanced Practice Midwife
66 HOSPITAL PLZ, SUITE 104
WESTON, WV 26452
Lewis County (304) 269-3108

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 Stonewall Jackson Memorial Hospital's NPI number?

The NPI number for Stonewall Jackson Memorial Hospital is 1669633962. It was assigned to this organization in the NPPES registry on June 19, 2008. The provider is doing business as Mountaineer Healthcare For Women.

Where is Stonewall Jackson Memorial Hospital located?

Stonewall Jackson Memorial Hospital is located at 66 Hospital Plz Suite 103, Weston, WV 26452. The listed phone number is (304) 269-3108.

What is Stonewall Jackson Memorial Hospital's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Stonewall Jackson Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0952645) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stonewall Jackson Memorial Hospital was last updated on June 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.