SELBY GENERAL HOSPITAL (NPI# 1124073465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124073465 |
| Entity Type | Organization |
| Organization Name | SELBY GENERAL HOSPITAL |
| Practice Address |
1106 Colegate Dr Marietta OH 45750-1323 |
| Practice Telephone | 7405682040 |
| Practice Fax Number | 7405682089 |
| Mailing Telephone | 7405682048 |
| Mailing Fax Number | 7405682094 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | PAIGE SMITH (PRESIDENT) |
| Authorized Official Telephone | 7405682000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 7943257 | 05 | |
| WV | 0001482000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497135412 | Selby General Hospital | Rehabilitation Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2015-06-04 |
| 1265622831 | Selby General Hospital | General Acute Care Hospital | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2007-07-30 |
| 1386699197 | Selby General Hospital | Medicare Defined Swing Bed Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2006-05-23 |
| 1114970803 | Selby General Hospital | Psychiatric Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2006-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELBY GENERAL HOSPITAL | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Street Address |
1106 COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979291 | Stephen R Mosberg | Emergency Medicine | 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 | 2005-08-12 |
| 1497135412 | Selby General Hospital | Rehabilitation Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2015-06-04 |
| 1487093647 | Niju Baby Narakathu | Hospitalist | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2013-06-21 |
| 1780982991 | Tiffany Ginger May Liean Heu | Emergency Medicine | 1106 Colegate Dr, Emergency Department, Marietta, OH 45750 | 2011-03-11 |
| 1346576956 | Victoria Yulan Tong | Emergency Medicine | 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 | 2009-11-02 |
| 1518133776 | Sajid Pervaiz | Family Medicine | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2008-05-07 |
| 1417140500 | Ellen Sue Mingus | Dietitian, Registered | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2007-08-22 |
| 1265622831 | Selby General Hospital | General Acute Care Hospital | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2007-07-30 |
| 1669581880 | Joseph Alexander Mack | Hospitalist | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2006-08-30 |
| 1649388604 | Elbert John Nash | Emergency Medicine | 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
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| 1265622831 | Selby General Hospital | General Acute Care Hospital | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2007-07-30 |
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| 1437244886 | Chris Anandajeya | General Acute Care Hospital | 17273 St Rt 104, Chillicothe, OH 45601 | 2006-10-03 |
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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.