JEFFERSON MEMORIAL HOSPITAL (NPI# 1891722377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891722377 |
| Entity Type | Organization |
| Organization Name | JEFFERSON MEMORIAL HOSPITAL |
| Other Organization Name | JEFFERSON MEDICAL CENTER |
| Practice Address |
300 S. Preston Street Ranson WV 25438-1631 |
| Mailing Address |
Po Box 1170 Morgantown WV 26507-1170 |
| Practice Telephone | 3047281600 |
| Practice Fax Number | 3047259492 |
| Mailing Telephone | 3045986795 |
| Mailing Fax Number | 3045986381 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-09-09 |
| Authorized Official Name | KATHLEEN R QUINONES (INTERIM VP FINANCE) |
| Authorized Official Telephone | 3042601443 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY HOSPITALS EAST INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
103 | WV | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004211 | 05 | |
| MD | 005805000 | 05 | |
| VA | 005100682 | 05 | |
| WV | BLUE CROSS BLUE SHIELD | 000304490 | 01 |
| Other Name | Type Code |
|---|---|
| Jefferson Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023151651 | Jefferson Memorial Hospital | Home Health | 5 Industrial Dr., Festus, MO 63028 | 2007-02-14 |
| 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 |
| 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 |
300 S. PRESTON STREET |
| City | RANSON |
| State | WV |
| Zip Code | 25438-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073693248 | Jefferson Memorial Hospital | Skilled Nursing Facility | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-10-16 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922295062 | Broaddus Hospital Group | General Acute Care Hospital | #1 Health Care Drive, Philippi, WV 26416 | 2007-10-03 |
| 1518164037 | Charleston Area Medical Center | General Acute Care Hospital | 3110 Maccorkle Avenue Se, Charleston, WV 25304 | 2007-06-28 |
| 1427189661 | Charleston Area Medical Center | General Acute Care Hospital | 1694 Mount Alpha Rd, Charleston, WV 25304-2731 | 2007-03-08 |
| 1396827424 | Providence Health Care | General Acute Care Hospital | E 1015 'd' Street, Deer Park, WV 99006-0742 | 2006-10-19 |
| 1356304547 | Braxton County Memorial Hospital | General Acute Care Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9321 | 2006-04-10 |
| 1457326241 | Hampshire Memorial Hospital, Inc | General Acute Care Hospital | 549 Center Ave, Romney, WV 26757-1352 | 2006-02-23 |
| 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 |
| 1124029400 | Minnie Hamilton Health Care Center, Inc. | General Acute Care Hospital | 186 Hospital Drive, Grantsville, WV 26147-7100 | 2005-08-09 |
| 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.