JEFFERSON MEMORIAL HOSPITAL (NPI# 1104242569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104242569 |
| Entity Type | Organization |
| Organization Name | JEFFERSON MEMORIAL HOSPITAL |
| Other Organization Name | JEFFERSON MEDICAL CENTER TRANSITIONAL CARE SERVICES |
| Practice Address |
300 S Preston St Ranson WV 25438-1631 |
| Mailing Address |
Po Box 1170 Morgantown WV 26507-1170 |
| Practice Telephone | 3047281669 |
| Practice Fax Number | 3047259492 |
| Mailing Telephone | 3042641358 |
| Mailing Fax Number | 3042601480 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2017-02-10 |
| Authorized Official Name | ANTHONY P. ZELENKA (PRESIDENT & CEO) |
| Authorized Official Telephone | 3042641000 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY HOSPITALS - EAST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Jefferson Medical Center Transitional Care Services | 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 |
| 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 ST |
| City | RANSON |
| State | WV |
| Zip Code | 25438-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154396612 | Angela M Taylor | Nurse Anesthetist, Certified Registered | 300 S Preston St, Ranson, WV 25438 | 2006-02-20 |
| 1588195481 | Qler Solutions LLC | Psychiatry & Neurology | 300 S Preston St, Ranson, WV 25438-1631 | 2017-03-22 |
| 1285019711 | Krista Blaylock | Registered Nurse | 300 S Preston St, Ranson, WV 25438-1631 | 2015-07-27 |
| 1225416266 | Morgan C Galante | Emergency Medicine | 300 S Preston St, Ranson, WV 25438-1631 | 2015-05-11 |
| 1316364953 | Jefferson Memorial Hospital | Internal Medicine | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-20 |
| 1932464518 | Meredith L. Pawliw | Physician Assistant | 300 S Preston St, Ranson, WV 25438-1631 | 2012-07-10 |
| 1861779100 | Joshua Garvin Miller | Physical Therapist | 300 S Preston St, Ranson, WV 25438-1631 | 2011-11-15 |
| 1730482449 | Jmh Emergency Physicians | Emergency Medicine | 300 S Preston St, Ranson, WV 25438-1631 | 2010-12-20 |
| 1518269497 | Karen Elizabeth Baird-miller | Pharmacist | 300 S Preston St, Ranson, WV 25438-1631 | 2010-11-26 |
| 1376770404 | Sarah M Madrid | Emergency Medicine | 300 S Preston St, Ranson, WV 25438-1631 | 2009-06-16 |
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| 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 |
| 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 |
| 1710231170 | Wvu Urgent Care Lab | Clinical Medical Laboratory | 203 East Fourth Avenue Suite B, Ranson, WV 25438 | 2012-11-06 |
| Find all providers in zip 25438 | ||||
| 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. |
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|---|---|---|---|---|
| 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 |
| 1730788399 | Marietta Memorial Hospital of Tyler County Inc | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 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 |
| 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 |
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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.