MONTGOMERY GENERAL HOSPITAL, INC (NPI# 1619913647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619913647 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY GENERAL HOSPITAL, INC |
| Practice Address |
401 6th Ave Montgomery WV 25136-2116 |
| Practice Telephone | 3044425151 |
| Practice Fax Number | 3044427494 |
| Mailing Telephone | 3044425151 |
| Mailing Fax Number | 3044427494 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | MRS. VICKIE L GAY (CEO) |
| Authorized Official Telephone | 3044427400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
72 | WV | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001386003 | 05 | |
| WV | 0001386000 | 05 | |
| WV | BLUE CROSS BLUE SHIELD | 000303151 | 01 |
| WV | 3810001695 | 05 | |
| WV | 3810001437 | 05 | |
| WV | BLACK LUNG | 032083700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508496688 | Montgomery General Hospital, Inc | Family Medicine | 401 6th Ave Ste 301, Montgomery, WV 25136-2116 | 2020-01-17 |
| 1982836326 | Montgomery General Hospital, Inc | Medicare Defined Swing Bed Unit | 401 Sixth Avenue, Montgomery, WV 25136-2116 | 2009-08-19 |
| Street Address |
401 6TH AVE |
| City | MONTGOMERY |
| State | WV |
| Zip Code | 25136-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226424 | Fred L Akerberg | Family Medicine | 401 6th Ave, # D303, Montgomery, WV 25136-2116 | 2005-06-22 |
| 1275163644 | Montgomery Physicians Clinic | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2020-01-24 |
| 1548890221 | Montgomery Pediatrics | Pediatrics | 401 6th Ave, Montgomery, WV 25136-2116 | 2020-01-22 |
| 1023671310 | Kara Shae Criswell | Pediatrics | 401 6th Ave, Montgomery, WV 25136-2116 | 2019-04-22 |
| 1043672884 | Aaron Bailey | Physician Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2016-03-22 |
| 1013372531 | Montgomery Gen Cahgrp | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2015-12-29 |
| 1992100010 | Montgomery Gen Cahgrp | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-10-31 |
| 1831503655 | Ghassan Y. Dagher | Optometrist | 401 6th Ave, Suite 110, Montgomery, WV 25136-2116 | 2014-06-19 |
| 1891108502 | Katie Carpenter | Physician Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-06-10 |
| 1184041865 | Laura Sheets | Occupational Therapy Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| 1871684324 | Montgomery General Hospital, Inc. | Skilled Nursing Facility | 401 Sixth Avenue, Montgomery, WV 25136 | 2006-09-28 |
| 1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
| 1902350275 | Willard Truman Long Jr. | Social Worker | 410 Ferry St, Montgomery, WV 25136 | 2016-08-04 |
| 1922160787 | Adin L Timbayan Md Inc | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-12-15 |
| 1245281195 | Victoria Santos Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-15 |
| 1063591816 | Karon Rae Myers | Registered Nurse | 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 | 2006-11-03 |
| 1467614933 | Arpan Kohli | Student in an Organized Health Care Education/Training Program | 420 3rd Ave, Montgomery, WV 25136-2101 | 2008-06-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| 1447311451 | Kennedy Dental Office | Dentist | 410 4th Ave, Montgomery, WV 25136-2105 | 2006-12-13 |
| Find all providers in zip 25136 | ||||
| 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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|---|---|---|---|---|
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 25136 |
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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.