WEBSTER COUNTY MEMORIAL HOSPITAL NPI 1699778704

General Acute Care Hospital (Critical Access) in Webster Springs, WV

NPI 1699778704 Organization General Acute Care Hospital Critical Access CLIA Number 51D0236290 CLIA Certificate of Compliance

About WEBSTER COUNTY MEMORIAL HOSPITAL

Webster County Memorial Hospital is a provider established in Webster Springs, West Virginia specializing in general acute care hospital (critical access) . The NPI number of Webster County Memorial Hospital is 1699778704 and was assigned on May 2005. The practitioner's primary taxonomy code is 282NC0060X with license number 1449 (WV). 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 Tina Louise Riffle Rn (Credentialing)

The CLIA number of Webster County Memorial Hospital is 51D0236290 registered as a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Webster County Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1699778704

Provider NameWEBSTER COUNTY MEMORIAL HOSPITAL
Provider Location Address324 MILLER MOUNTAIN DR WEBSTER SPRINGS, WV 26288
Provider Mailing AddressPO BOX 312 324 MILLER MOUNTAIN DRIVE WEBSTER SPRINGS, WV 26288
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-23-2005
Last Update Date07-20-2015


Primary Taxonomy

Taxonomy Code282NC0060X
ClassificationGeneral Acute Care Hospital
TypeHospitals
SpecializationCritical Access
License No.1449
License StateWV
Taxonomy DescriptionDefinition to come.

Business Address

WEBSTER COUNTY MEMORIAL HOSPITAL
324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV
ZIP 26288
Phone: (304) 847-5682
Fax: (304) 847-5985

Get Directions


Mailing Address

WEBSTER COUNTY MEMORIAL HOSPITAL
PO BOX 312
324 MILLER MOUNTAIN DRIVE
WEBSTER SPRINGS, WV
ZIP 26288
Phone: (304) 847-5682
Fax: (304) 847-5985



Authorized Official

Authorized Official Name TINA LOUISE RIFFLE RN
Authorized Official TitleCREDENTIALING
Authorized Official Phone(304) 847-5682

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 the NPI number 1699778704 is:

CLIA Number51D0236290
Facility TypeHOSPITAL
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1013203058OTHER (01)WV
1437453719OTHER (01)WV
A71842MEDICARE UPIN (02)WV
E93359MEDICARE UPIN (02)WV
1255661955OTHER (01)WV
S85426MEDICARE UPIN (02)WV
1174788111OTHER (01)WV
1760776272OTHER (01)WV
Q75197MEDICARE UPIN (02)WV
P36342MEDICARE UPIN (02)WV
1992078380OTHER (01)WV
1053679282OTHER (01)WV
1639264582OTHER (01)WV
1730415332OTHER (01)WV
H10310MEDICARE UPIN (02)WV
W43985MEDICARE UPIN (02)WV
1720243769OTHER (01)WV

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043287030WEBSTER COUNTY MEMORIAL HOSPITAL
Organization
Medicare Defined Swing Bed Unit324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1306815899 STEVEN W CRAFT DO
Individual
General Practice324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1093893190 JEFFERY WILLIAM KESECKER RPH
Individual
Pharmacist324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5151
1285712315 ELADIO MAZON RPH
Individual
Pharmacist324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5151
1720243769DR. VONDA LYNN YORK-MCELWAIN D.O.
Individual
Internal Medicine324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1952692493MR. JONATHAN MATTHEW ACORD PT
Individual
Physical Therapist324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1174500110MRS. DEBRA JO CUTLIP PA
Individual
Physician Assistant324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1386984193 DRENDA JOAN HARRISON LMT
Individual
Massage Therapist324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1588641518DR. ROBERT MORGAN MACE MD
Individual
Family Medicine324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1013994953MR. JOHN VAYDEN BLAKE PA
Individual
Physician Assistant324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1952387110 JASON D WILLIAMS MPT
Individual
Physical Therapist324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1427338425WEBSTER COUNTY MEMORIAL HOSPITAL
Organization
Pharmacy (Community/Retail Pharmacy)324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(681) 213-1230
1194877498 HEATHER MEADOWS NURSE PRATITIONER
Individual
Nurse Practitioner324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1427035310 CHRISTOPHER J DOTSON DPT
Individual
Physical Therapist324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1881920742MR. MICHAEL SHAWN BOSLEY DPT
Individual
Physical Therapist324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5608
1861852725 DENISE RENAE HAMRICK FNP
Individual
Nurse Practitioner324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1538529417 DEBRA C WILLIAMS
Individual
Nurse Practitioner324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1407223571 LINDSEY M TABOR FNP
Individual
Nurse Practitioner324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1992155832 KIMBERLY GROVES APRN,FNP-BC
Individual
Nurse Practitioner (Family)324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5682
1639501422DR. JULIE A BEAM PHARMD, ACE
Individual
Pharmacist324 MILLER MOUNTAIN DR
WEBSTER SPRINGS, WV 26288
(304) 847-5324

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.