STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY (NPI# 1477559433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477559433 |
Entity Type | Organization |
Organization Name | STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY |
Practice Address |
230 Hospital Plz Weston WV 26452-8558 |
Practice Telephone | 3042698000 |
Practice Fax Number | 3042698090 |
Mailing Telephone | 3042698000 |
Mailing Fax Number | 3042698090 |
Enumeration Date | 2005-06-24 |
Last Update Date | 2017-10-27 |
Authorized Official Name | MRS. AVAH L STALNAKER (CEO) |
Authorized Official Telephone | 3042698000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
510038 | WV | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0001417000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922392851 | Stonewall Jackson Memorial Hospital Company | Orthopaedic Surgery | 29 Hospital Plz Ste C, Weston, WV 26452-8471 | 2011-06-08 |
Street Address |
230 HOSPITAL PLZ |
City | WESTON |
State | WV |
Zip Code | 26452-8558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1316290968 | Sean William Hamner | Physical Therapy Assistant | 230 Hospital Plz, Weston, WV 26452-8558 | 2012-10-19 |
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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 |
Find all providers in zip 26452 |
Taxonomy Code | 282NR1301X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Rural |
Definition to come... |
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1720275571 | Davis Memorial Hospital Group | General Acute Care Hospital | 812 Gorman Avenue, Elkins, WV 26241 | 2007-09-26 |
1841314473 | St Josephs Hospital of Buckhannon | General Acute Care Hospital | 1 Amalia Dr, Buckhannon, WV 26201-2276 | 2007-03-19 |
1750332565 | Logan General Hospital LLC | General Acute Care Hospital | 20 Hospital Dr, Logan, WV 25601-3452 | 2006-05-15 |
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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.