STONEWALL JACKSON MEMORIAL HOSPITAL MED GROUP (NPI# 1154517118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154517118 |
| Entity Type | Organization |
| Organization Name | STONEWALL JACKSON MEMORIAL HOSPITAL MED GROUP |
| Other Organization Name | MED GROUP |
| Practice Address |
230 Hospital Plz Weston WV 26452-8558 |
| Mailing Address |
230 Hospital Plaza Weston WV 26452 |
| Practice Telephone | 3042698000 |
| Practice Fax Number | 3042698090 |
| Mailing Telephone | 3042698000 |
| Mailing Fax Number | 3042698090 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | MS. DODIE B ARBOGAST (CFO) |
| Authorized Official Telephone | 3042698050 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| MED GROUP | Other Name - Individual/Organization |
| Street Address |
230 HOSPITAL PLZ |
| City | WESTON |
| State | WV |
| Zip Code | 26452-8558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559433 | Stonewall Jackson Memorial Hospital Company | General Acute Care Hospital | 230 Hospital Plz, Weston, WV 26452-8558 | 2005-06-24 |
| 1962000315 | Marquita Renae Stump | Nurse Practitioner | 230 Hospital Plz, Weston, WV 26452-8558 | 2020-10-16 |
| 1285266239 | Brittany Lynn Gregory | Nurse Practitioner | 230 Hospital Plz, Weston, WV 26452-8558 | 2020-02-07 |
| 1598278020 | Debra Lynn Murray | Nurse Practitioner | 230 Hospital Plz, Weston, WV 26452 | 2017-11-07 |
| 1174049563 | Pearline Gill Saucier | Dietitian, Registered | 230 Hospital Plz, Weston, WV 26452-8558 | 2017-08-17 |
| 1619407954 | Lindsey Marie Loutsenhizer | Physician Assistant | 230 Hospital Plz, Weston, WV 26452-8558 | 2017-06-19 |
| 1528595816 | Sarah Grace Weaver | Nurse Practitioner | 230 Hospital Plz, Weston, WV 26452 | 2017-05-17 |
| 1861813412 | Jeanette Dawn Woods | Nurse Anesthetist, Certified Registered | 230 Hospital Plz, Weston, WV 26452-8558 | 2013-12-30 |
| 1073940961 | United Hospital Center Inc. | Clinic/Center | 230 Hospital Plz, Weston, WV 26452-8558 | 2013-10-09 |
| 1265785471 | Amber Brooke Woodford | Physical Therapy Assistant | 230 Hospital Plz, Weston, WV 26452-8558 | 2012-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902437650 | Mchs Hospitals, Inc. | General Acute Care Hospital | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-01-31 |
| 1396283511 | Regis College | General Acute Care Hospital | 235 Wellesley St, Weston, MA 02493-1572 | 2017-02-08 |
| 1073879987 | Cleveland Clinic Florida | General Acute Care Hospital | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2012-04-04 |
| 1346563277 | Carola Canessa | General Acute Care Hospital | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2010-03-06 |
| 1043549397 | Cleveland Clinic Florida | General Acute Care Hospital | 2950 Cleveland Clinic Blvd, Weston, FL 33331 | 2009-12-16 |
| 1114195435 | Stonewall Jackson Memorial Hospital Co | General Acute Care Hospital | 230 Hospital Plaza, Weston, WV 26452-8558 | 2008-02-20 |
| 1083644033 | Cleveland Clinic Florida Health System Nonprofit Corporation | General Acute Care Hospital | 3100 Weston Rd, Weston, FL 33331-3602 | 2006-07-04 |
| 1235177122 | Ascension St Clare's Hospital, Inc | General Acute Care Hospital | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164882072 | Karen Goff | General Acute Care Hospital | 42 Pineview Flats Rd, Hambleton, WV 26269-8037 | 2016-03-04 |
| 1811241714 | Joseph Stephen Blevins | General Acute Care Hospital | 645 Lincolnshire Dr, Mineral Wells, WV 26150-6006 | 2012-10-31 |
| 1487905311 | Va Medical Center | General Acute Care Hospital | 292 Sherwood Dr, Huntington, WV 25704-9460 | 2012-10-02 |
| 1114243680 | Charleston Area Medical Center | General Acute Care Hospital | 3103 Maccorkle Ave Se, Charleston, WV 25304-1217 | 2010-04-08 |
| 1508005398 | Linguacare Associates, Inc. | General Acute Care Hospital | 1807 Mount Alpha Rd, Charleston, WV 25304-2736 | 2009-02-18 |
| 1477709921 | Huntington Va Medical Center | General Acute Care Hospital | 540 Spring Valley Dr, Huntington, WV 25704 | 2008-08-15 |
| 1356522783 | Ohio Valley Medical Center, Inc | General Acute Care Hospital | 2211 Eoff St, Wheeling, WV 26003-3807 | 2007-11-14 |
| 1962605931 | Wvu | General Acute Care Hospital | 740 Erow Ave, Morgantown, WV 26505-2579 | 2007-06-07 |
| 1619181393 | Wvu Department of Family Medicine | General Acute Care Hospital | 1 Med.center Dr., Morgantown, WV 26506 | 2007-05-10 |
| 1235229501 | Pinch Anesthesia Associates,inc. | General Acute Care Hospital | 11 Graystone Est, Elkview, WV 25071-9400 | 2006-10-14 |
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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.