MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC (NPI# 1730788399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730788399 |
| Entity Type | Organization |
| Organization Name | MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC |
| Practice Address |
314 S Wells St Sistersville WV 26175-1098 |
| Mailing Address |
C/o Paul Westbrock 314 S Wells St Sistersville WV 26175-1098 |
| Practice Telephone | 3046522611 |
| Practice Fax Number | 3046521448 |
| Mailing Telephone | 3046522611 |
| Mailing Fax Number | 3046521448 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | PAUL WESTBROCK (VP, LEGAL AFFAIRS) |
| Authorized Official Telephone | 7403741581 |
| Is Organization Subpart | Y |
| Parent Organization Name | SISTERSVILLE GENERAL HOSPITAL SWING BED UNIT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Sistersville General Hospital Swing Bed Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768197 | Marietta Memorial Hospital of Tyler County Inc | Ambulance | 242 Oxford St, Sistersville, WV 26175-1029 | 2020-10-23 |
| 1508465162 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 100 Fair St, Middlebourne, WV 26149-9525 | 2020-10-23 |
| 1598364168 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 305 Clay St, Sistersville, WV 26175-1059 | 2020-10-23 |
| 1245839802 | Marietta Memorial Hospital of Tyler County Inc | Hospice Care, Community Based | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 1437758034 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 201 2nd St, Saint Marys, WV 26170-1003 | 2020-10-23 |
| 1811595192 | Marietta Memorial Hospital of Tyler County Inc | General Acute Care Hospital | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-09 |
| Street Address |
314 S WELLS ST |
| City | SISTERSVILLE |
| State | WV |
| Zip Code | 26175-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495335 | City of Sistersville | General Acute Care Hospital | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-05-27 |
| 1245839802 | Marietta Memorial Hospital of Tyler County Inc | Hospice Care, Community Based | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 1811595192 | Marietta Memorial Hospital of Tyler County Inc | General Acute Care Hospital | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-09 |
| 1205217833 | Alisha Placer | Nurse Practitioner | 314 S Wells St, Sistersville, WV 26175-1098 | 2015-06-09 |
| 1568616605 | City of Sistersville | Clinic/Center | 314 S Wells St, Sistersville, WV 26175-1098 | 2008-11-14 |
| 1508996174 | Matthew J Godlewski | Internal Medicine | 314 S Wells St, Sistersville, WV 26175-1098 | 2007-03-06 |
| 1194829374 | City of Sistersville | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2006-09-11 |
| 1174510861 | Ramon H Fagundo | Emergency Medicine | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-09-29 |
| 1720074768 | William A Martin | Emergency Medicine | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-09-26 |
| 1588650782 | Saed A Ahmad | Internal Medicine | 314 S Wells St, Sistersville, WV 26175-1098 | 2005-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305413 | Devin Michael Blair | Technician | 218 Russell Avenue, Sistersville, WV 26175 | 2020-08-07 |
| 1710203419 | City of Sistersville | Clinic/Center | 305 Clay St, Sistersville, WV 26175 | 2010-04-20 |
| 1659475812 | City of Sistersville | Hospice Care, Community Based | 314 South Wells Street, Sistersville, WV 26175 | 2006-09-11 |
| 1356469225 | Genesis Rehab Services | Physical Therapist | 201 Wood St, Sistersville, WV 26175 | 2007-03-27 |
| 1730625542 | Sistersville Volunteer Fire Department | Ambulance | 121 Maple Ln, Sistersville, WV 26175-1024 | 2017-01-18 |
| 1538263942 | City of Sistersville | Ambulance | 242 Oxford St, Sistersville, WV 26175-1029 | 2006-09-08 |
| 1538768197 | Marietta Memorial Hospital of Tyler County Inc | Ambulance | 242 Oxford St, Sistersville, WV 26175-1029 | 2020-10-23 |
| 1598364168 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 305 Clay St, Sistersville, WV 26175-1059 | 2020-10-23 |
| 1336363878 | Keith Allen Milhoan | Dentist | 210 Charles St, Sistersville, WV 26175-1202 | 2007-04-13 |
| 1972664043 | Phillips Drug LLC | Pharmacy | 615 Wells St, Sistersville, WV 26175-1323 | 2006-12-13 |
| Find all providers in zip 26175 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194829374 | City of Sistersville | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 1649277476 | Community Health Association | Medicare Defined Swing Bed Unit | 122 Pinnell Street, Ripley, WV 25271-0720 | 2005-07-07 |
| 1376175240 | Wetzel County Hospital, Inc. | Medicare Defined Swing Bed Unit | 3 E Benjamin Dr, New Martinsville, WV 26155-2758 | 2020-02-10 |
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 1407223571 | Lindsey M Tabor | Medicare Defined Swing Bed Unit | 324 Miller Mountain Dr, Webster Springs, WV 26288-1065 | 2015-08-25 |
| 1104242569 | Jefferson Memorial Hospital | Medicare Defined Swing Bed Unit | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-10 |
| 1982836326 | Montgomery General Hospital, Inc | Medicare Defined Swing Bed Unit | 401 Sixth Avenue, Montgomery, WV 25136-2116 | 2009-08-19 |
| 1437391414 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 1 Hospital Dr, Petersburg, WV 26847-9549 | 2009-04-06 |
| 1083805790 | Community Health Association | Medicare Defined Swing Bed Unit | 122 Pinnell St, Ripley, WV 25271-9101 | 2007-08-07 |
| Find all providers with the same taxonomy | ||||
| City | SISTERSVILLE |
| Zip Code | 26175 |
Please comment or provide details below to improve the information on MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC.
| 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.