JEFFERSON MEMORIAL HOSPITAL (NPI# 1477979102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477979102 |
| Entity Type | Organization |
| Organization Name | JEFFERSON MEMORIAL HOSPITAL |
| Other Organization Name | JEFFERSON PHYSICAL THERAPY |
| Practice Address |
912 Somerset Blvd Suite 100 Charles Town WV 25401-3952 |
| Mailing Address |
2000 Foundation Way Suite 2310 Martinsburg WV 25401-9003 |
| Practice Telephone | 3047281601 |
| Practice Fax Number | 3047253690 |
| Mailing Telephone | 3042641358 |
| Mailing Fax Number | 3042601480 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | MR. CHRISTOPHER D KNIGHT (VP FINANCE) |
| Authorized Official Telephone | 3042641358 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY HOSPITALS EAST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jefferson Physical Therapy | Other Name - Individual/Organization |
| 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 |
| 1831274430 | Jefferson Memorial Hospital | Preventive Medicine | 1400 Us Highway 61, Suite G - 50, Festus, MO 63028-4100 | 2006-10-25 |
| 1073693248 | Jefferson Memorial Hospital | Skilled Nursing Facility | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-10-16 |
| 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 |
912 SOMERSET BLVD SUITE 100 |
| City | CHARLES TOWN |
| State | WV |
| Zip Code | 25401-3952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154392983 | Garth Bradford Wright | Orthopaedic Surgery | 912 Somerset Blvd, Ste 101, Charles Town, WV 25414-3952 | 2006-01-30 |
| 1326513748 | John Thomas Considine | Nurse Practitioner | 912 Somerset Blvd, Charles Town, WV 25414-3952 | 2018-10-11 |
| 1801140579 | University Healthcare Physicians, Inc. | Family Medicine | 912 Somerset Blvd, Ste 102, Charles Town, WV 25414 | 2012-11-02 |
| 1649468646 | Anthony W. Casto | Physician Assistant | 912 Somerset Blvd, Suite 101, Charles Town, WV 25414-3952 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594757 | Mountain River Physical Therapy, LLC | Clinic/Center | 108 Osprey Drive, Suite B, Williamstown, WV 26187 | 2020-10-05 |
| 1376140210 | Mountain River Physical Therapy, LLC | Clinic/Center | 415 36th St Ste 100, Parkersburg, WV 26101-1005 | 2020-10-05 |
| 1497362867 | Pelvic Health Physical Therapy of Morgantown, LLC | Clinic/Center | 6000 Coombs Farm Rd Ste 106, Morgantown, WV 26508-1155 | 2020-09-29 |
| 1972136786 | Pocahontas Memorial Hospital | Clinic/Center | 16023 Cass Rd, Cass, WV 24927-9136 | 2020-02-20 |
| 1124667613 | Move Right Performance Therapy | Clinic/Center | 330 Scott Ave, Morgantown, WV 26508-0023 | 2019-12-31 |
| 1932744240 | Mountain River Physical Therapy, LLC | Clinic/Center | 483 Court St Ste 1, Elizabeth, WV 26143-1109 | 2019-11-11 |
| 1114562428 | Mountain River Physical Therapy, LLC | Clinic/Center | 606 Washington St Ste 1, Ravenswood, WV 26164-1730 | 2019-11-11 |
| 1508408881 | Jimmie Tyler Beirne | Clinic/Center | 4011 Feely Ln, Ona, WV 25545-9762 | 2019-10-08 |
| 1548801798 | Lenzie Weicht | Clinic/Center | 5724 Hammonds Mill Rd Ste G, Martinsburg, WV 25404-6491 | 2019-09-30 |
| 1477107183 | First Settlement Physical Therapy | Clinic/Center | 2909c 7th St, Parkersburg, WV 26101-3808 | 2019-07-31 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES TOWN |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on JEFFERSON 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.