STONEWALL JACKSON MEMORIAL HOSPITAL (NPI# 1063764348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063764348 |
| Entity Type | Organization |
| Organization Name | STONEWALL JACKSON MEMORIAL HOSPITAL |
| Practice Address |
230 Hospital Plz Weston WV 26452-8558 |
| Practice Telephone | 3042698097 |
| Mailing Telephone | 3042698097 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | SEAN W HAMNER (PTA) |
| Authorized Official Telephone | 3049246804 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTA 001776 | WV | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617989 | Stonewall Jackson Memorial Hospital | Home Health | 456 Suite B Market Place Mall, Weston, WV 26452-6938 | 2005-05-24 |
| 1225299605 | Stonewall Jackson Memorial Hospital | Family Medicine | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 | 2008-06-19 |
| 1669633962 | Stonewall Jackson Memorial Hospital | Obstetrics & Gynecology | 66 Hospital Plz, Suite 103, Weston, WV 26452-8552 | 2008-06-19 |
| 1841451226 | Stonewall Jackson Memorial Hospital | Orthopaedic Surgery | 29 Hospital Plz, Suite C, Weston, WV 26452-8470 | 2008-06-19 |
| Street Address |
230 HOSPITAL PLZ |
| City | WESTON |
| State | WV |
| Zip Code | 26452-8558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559433 | Stonewall Jackson Memorial Hospital Company | General Acute Care Hospital | 230 Hospital Plz, Weston, WV 26452-8558 | 2005-06-24 |
| 1962000315 | Marquita Renae Stump | Nurse Practitioner | 230 Hospital Plz, Weston, WV 26452-8558 | 2020-10-16 |
| 1285266239 | Brittany Lynn Gregory | Nurse Practitioner | 230 Hospital Plz, Weston, WV 26452-8558 | 2020-02-07 |
| 1598278020 | Debra Lynn Murray | Nurse Practitioner | 230 Hospital Plz, Weston, WV 26452 | 2017-11-07 |
| 1174049563 | Pearline Gill Saucier | Dietitian, Registered | 230 Hospital Plz, Weston, WV 26452-8558 | 2017-08-17 |
| 1619407954 | Lindsey Marie Loutsenhizer | Physician Assistant | 230 Hospital Plz, Weston, WV 26452-8558 | 2017-06-19 |
| 1528595816 | Sarah Grace Weaver | Nurse Practitioner | 230 Hospital Plz, Weston, WV 26452 | 2017-05-17 |
| 1861813412 | Jeanette Dawn Woods | Nurse Anesthetist, Certified Registered | 230 Hospital Plz, Weston, WV 26452-8558 | 2013-12-30 |
| 1073940961 | United Hospital Center Inc. | Clinic/Center | 230 Hospital Plz, Weston, WV 26452-8558 | 2013-10-09 |
| 1265785471 | Amber Brooke Woodford | Physical Therapy Assistant | 230 Hospital Plz, Weston, WV 26452-8558 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295254860 | Realign By Randee, Inc. | Clinic/Center | 730 Crystal Ct, Weston, FL 33326-2914 | 2017-09-14 |
| 1609004142 | Aspirus Wausau Hospital, Inc | Clinic/Center | 3402 Howland Ave Ste 100, Weston, WI 54476-5633 | 2009-06-23 |
| 1548411051 | Therapeutic Exercise and Chiropractic Corporation | Clinic/Center | 18215 North Hwy 45, Suite C, Weston, MO 64098 | 2008-10-02 |
| 1891964102 | Physiotherapy Associates Inc | Clinic/Center | 4602 Barbican Ave, Weston, WI 54476-4178 | 2008-02-21 |
| 1265628689 | Therapeutic Exercise and Chiropractic Corporation | Clinic/Center | 18215 45 Hwy Ste C, Weston, MO 64098-9101 | 2007-09-19 |
| 1184914632 | Motion and Wellness Institute LLC | Clinic/Center | 734 San Remo Dr, Weston, FL 33326-4533 | 2011-04-17 |
| 1114194297 | Quality Rehab Care LLC | Clinic/Center | 2731 Executive Park Dr, Suite1, Weston, FL 33331-3657 | 2008-05-08 |
| 1922197177 | Physiotherapy Associates Inc | Clinic/Center | 2731 Executive Park Dr, Suites 1 & 2, Weston, FL 33331-3657 | 2006-10-12 |
| 1841398591 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-09-20 |
| 1023031366 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-26 |
| Find all providers in WESTON | ||||
Please comment or provide details below to improve the information on STONEWALL JACKSON MEMORIAL HOSPITAL.
| 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.