PRESTON MEMORIAL HOSPITAL CORPORATION (NPI# 1639113046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639113046 |
| Entity Type | Organization |
| Organization Name | PRESTON MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | SWING BED |
| Practice Address |
150 Memorial Dr Kingwood WV 26537 |
| Practice Telephone | 3043291400 |
| Practice Fax Number | 3043291175 |
| Mailing Telephone | 3043291400 |
| Mailing Fax Number | 3043291175 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | MRS. MELISSA LOCKWOOD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3043291400 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESTON MEMORIAL HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 56 | WV | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0104806000 | 05 |
| Other Name | Type Code |
|---|---|
| Swing Bed | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306037684 | Preston Memorial Hospital Corporation | Case Manager/Care Coordinator | 300 S Price St, Kingwood, WV 26537-1442 | 2007-08-05 |
| 1013950054 | Preston Memorial Hospital Corporation | General Acute Care Hospital | 150 Memorial Dr, Kingwood, WV 26537 | 2006-06-14 |
| 1841230661 | Preston Memorial Hospital Corporation | Surgery | 150 Memorial Dr, Kingwood, WV 26537 | 2006-06-08 |
| 1225077118 | Preston Memorial Hospital Corporation | Home Health | 410 E Main St, Kingwood, WV 26537-1723 | 2006-06-06 |
| Street Address |
150 MEMORIAL DR |
| City | KINGWOOD |
| State | WV |
| Zip Code | 26537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254907 | Nancy Louise Jones | Physician Assistant | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2005-08-31 |
| 1356963300 | Brittany Elizabeth Shaffer | Registered Nurse | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-05-13 |
| 1265067128 | Katherine Barton | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1265067177 | Ashley E Greene | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1891320354 | Garrett Dalton Simmons | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-05 |
| 1568096824 | Ashley Ann Gardo | Speech-Language Pathologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-02-26 |
| 1780239608 | Erin Marie Thomas | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-08-07 |
| 1134693633 | Elise Roman | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-01-17 |
| 1215419759 | Jeremy Allen Dixon | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-08-31 |
| 1265928162 | Terrie Lyn Roth | Nurse Practitioner | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702604 | Amanda Dawn Slaubaugh | Technician | 74 Alex Dr, Kingwood, WV 26537 | 2020-08-31 |
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1336558089 | Nicholas Kyle | Physical Therapist | 421 Morgantown St., Kingwood, WV 26537 | 2014-08-07 |
| 1447666896 | Alicia Suzanne Helmick | Pharmacist | 220 W. Main St, Kingwood Pharmacy, Kingwood, WV 26537 | 2014-07-07 |
| 1083035133 | Carmen Sigley | Nurse Practitioner | 209 East Hight Str., Kingwood, WV 26537 | 2013-12-16 |
| 1386946002 | Molly Renee Dorian | Occupational Therapist | 300 Preston Drive, Kingwood, WV 26537 | 2010-12-01 |
| 1083830343 | Preston County Senior Citizens, Inc. | Home Health | 421 E. Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1730305152 | Preston County Senior Citizens, Inc. | Home Health | 421 East Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1629133806 | Kendra L Barker | Nurse Practitioner | 1343 N. Preston Highway, Preston Healthcare Services, LLC., Kingwood, WV 26537 | 2006-12-27 |
| 1821181132 | Every Bodys Chiropractic Pllc | Chiropractor | 425 E Main Street, Suite 418, Kingwood, WV 26537 | 2006-10-02 |
| Find all providers in zip 26537 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
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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.