JEFFERSON MEMORIAL HOSPITAL (NPI# 1073693248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073693248 |
| Entity Type | Organization |
| Organization Name | JEFFERSON MEMORIAL HOSPITAL |
| Practice Address |
300 S. Preston Street Ranson WV 25438-1631 |
| Practice Telephone | 3047281600 |
| Practice Fax Number | 3047259492 |
| Mailing Telephone | 3047281600 |
| Mailing Fax Number | 3047259492 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | MR. ROGER M. EITELMAN (PRESIDENT & CEO) |
| Authorized Official Telephone | 3042641244 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY HOSPITALS EAST INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 103 | WV | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004211 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023151651 | Jefferson Memorial Hospital | Home Health | 5 Industrial Dr., Festus, MO 63028 | 2007-02-14 |
| 1891722377 | Jefferson Memorial Hospital | General Acute Care Hospital | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-06-28 |
| 1316364953 | Jefferson Memorial Hospital | Internal Medicine | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-20 |
| 1104242569 | Jefferson Memorial Hospital | Medicare Defined Swing Bed Unit | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-10 |
| 1477979102 | Jefferson Memorial Hospital | Clinic/Center | 912 Somerset Blvd, Suite 100, Charles Town, WV 25401-3952 | 2014-03-05 |
| 1831274430 | Jefferson Memorial Hospital | Preventive Medicine | 1400 Us Highway 61, Suite G - 50, Festus, MO 63028-4100 | 2006-10-25 |
| 1982704961 | Jefferson Memorial Hospital | Anesthesiology | 300 S Preston St, Ranson, WV 25438-1631 | 2006-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEFFERSON MEMORIAL HOSPITAL | 300 S Preston St, Ranson, WV 25438-1631 |
| Street Address |
300 S. PRESTON STREET |
| City | RANSON |
| State | WV |
| Zip Code | 25438-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891722377 | Jefferson Memorial Hospital | General Acute Care Hospital | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770768020 | Sheila Marie Blazer | Speech-Language Pathologist | 600 North Preston Street, Ranson Elementary School, Ranson, WV 25438 | 2008-01-07 |
| 1619185121 | James Scott Boyd | Pharmacist | 201 S, Preston Street, Ranson, WV 25438 | 2007-05-18 |
| 1881815389 | Philip Sumner Grove | Pathology | 300 S Preston Street, Ranson, WV 25438 | 2007-05-01 |
| 1538192877 | Weis Markets Inc | Pharmacy | 217 Oak Lee Dr, Suite 15, Ranson, WV 25438 | 2006-07-09 |
| 1083668966 | Kara Jones-schubart | Nurse Practitioner | 1212 N. Mildreed St, Room 303, Ranson, WV 25438 | 2006-05-22 |
| 1154396612 | Angela M Taylor | Nurse Anesthetist, Certified Registered | 300 S Preston St, Ranson, WV 25438 | 2006-02-20 |
| 1568465771 | Ronald Ray Spruill Jr. | Physician Assistant | 100 Oak Lee Drive, Ranson, WV 25438 | 2005-05-23 |
| 1720588445 | Margaret M Harris | Physician Assistant | 100 Oak Lee Dr, Ranson, WV 25438 | 2018-02-19 |
| 1841711512 | East Mountain Health Physicians, Inc. | Clinic/Center | 100 Oak Lee Drive, Ranson, WV 25438 | 2017-07-03 |
| 1659806602 | East Mountain Health Physicians, Inc. | Clinic/Center | 100 Oak Lee Drive, Ranson, WV 25438 | 2017-04-27 |
| Find all providers in zip 25438 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| 1457535635 | Three Mile Curve Operations LLC | Skilled Nursing Facility | Three Mile Curve, Logan, WV 25600 | 2007-12-24 |
| Find all providers with the same taxonomy | ||||
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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.