PRESTON MEMORIAL HOSPITAL CORPORATION (NPI# 1013950054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013950054 |
| Entity Type | Organization |
| Organization Name | PRESTON MEMORIAL HOSPITAL CORPORATION |
| Practice Address |
150 Memorial Dr Kingwood WV 26537 |
| Practice Telephone | 3043291400 |
| Practice Fax Number | 3043291175 |
| Mailing Telephone | 3043291400 |
| Mailing Fax Number | 3043291175 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-07-13 |
| Authorized Official Name | MRS. MELISSA LOCKWOOD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3043291400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
56 | WV | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BCBS | 000303279 | 01 |
| WV | HEALTH PLAN | B522 | 01 |
| WV | BLACK LUNG | 039578000 | 01 |
| WV | CARELINK | 510005 | 01 |
| WV | 0104806000 | 05 | |
| WV | MAMSI | 249804 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306037684 | Preston Memorial Hospital Corporation | Case Manager/Care Coordinator | 300 S Price St, Kingwood, WV 26537-1442 | 2007-08-05 |
| 1639113046 | Preston Memorial Hospital Corporation | Medicare Defined Swing Bed Unit | 150 Memorial Dr, Kingwood, WV 26537 | 2006-06-15 |
| 1841230661 | Preston Memorial Hospital Corporation | Surgery | 150 Memorial Dr, Kingwood, WV 26537 | 2006-06-08 |
| 1225077118 | Preston Memorial Hospital Corporation | Home Health | 410 E Main St, Kingwood, WV 26537-1723 | 2006-06-06 |
| Street Address |
150 MEMORIAL DR |
| City | KINGWOOD |
| State | WV |
| Zip Code | 26537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254907 | Nancy Louise Jones | Physician Assistant | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2005-08-31 |
| 1356963300 | Brittany Elizabeth Shaffer | Registered Nurse | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-05-13 |
| 1265067128 | Katherine Barton | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1265067177 | Ashley E Greene | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1891320354 | Garrett Dalton Simmons | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-05 |
| 1568096824 | Ashley Ann Gardo | Speech-Language Pathologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-02-26 |
| 1780239608 | Erin Marie Thomas | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-08-07 |
| 1134693633 | Elise Roman | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-01-17 |
| 1215419759 | Jeremy Allen Dixon | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-08-31 |
| 1265928162 | Terrie Lyn Roth | Nurse Practitioner | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702604 | Amanda Dawn Slaubaugh | Technician | 74 Alex Dr, Kingwood, WV 26537 | 2020-08-31 |
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1336558089 | Nicholas Kyle | Physical Therapist | 421 Morgantown St., Kingwood, WV 26537 | 2014-08-07 |
| 1447666896 | Alicia Suzanne Helmick | Pharmacist | 220 W. Main St, Kingwood Pharmacy, Kingwood, WV 26537 | 2014-07-07 |
| 1083035133 | Carmen Sigley | Nurse Practitioner | 209 East Hight Str., Kingwood, WV 26537 | 2013-12-16 |
| 1386946002 | Molly Renee Dorian | Occupational Therapist | 300 Preston Drive, Kingwood, WV 26537 | 2010-12-01 |
| 1083830343 | Preston County Senior Citizens, Inc. | Home Health | 421 E. Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1730305152 | Preston County Senior Citizens, Inc. | Home Health | 421 East Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1629133806 | Kendra L Barker | Nurse Practitioner | 1343 N. Preston Highway, Preston Healthcare Services, LLC., Kingwood, WV 26537 | 2006-12-27 |
| 1821181132 | Every Bodys Chiropractic Pllc | Chiropractor | 425 E Main Street, Suite 418, Kingwood, WV 26537 | 2006-10-02 |
| Find all providers in zip 26537 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922295062 | Broaddus Hospital Group | General Acute Care Hospital | #1 Health Care Drive, Philippi, WV 26416 | 2007-10-03 |
| 1518164037 | Charleston Area Medical Center | General Acute Care Hospital | 3110 Maccorkle Avenue Se, Charleston, WV 25304 | 2007-06-28 |
| 1427189661 | Charleston Area Medical Center | General Acute Care Hospital | 1694 Mount Alpha Rd, Charleston, WV 25304-2731 | 2007-03-08 |
| 1396827424 | Providence Health Care | General Acute Care Hospital | E 1015 'd' Street, Deer Park, WV 99006-0742 | 2006-10-19 |
| 1891722377 | Jefferson Memorial Hospital | General Acute Care Hospital | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-06-28 |
| 1356304547 | Braxton County Memorial Hospital | General Acute Care Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9321 | 2006-04-10 |
| 1457326241 | Hampshire Memorial Hospital, Inc | General Acute Care Hospital | 549 Center Ave, Romney, WV 26757-1352 | 2006-02-23 |
| 1912979873 | Potomac Valley Hospital of W Va, Inc | General Acute Care Hospital | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2006-02-06 |
| 1548246622 | Broaddus Hospital Association, Inc. | General Acute Care Hospital | #1 Healthcare Drive, Mansfield Hill, Philippi, WV 26416 | 2005-12-20 |
| 1689664179 | Appalachian Regional Healthcare, Inc. | General Acute Care Hospital | 115 Summers Hospital Road, Hinton, WV 25951 | 2005-10-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.