STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL


Address: 454 Mcdowell St, Welch, WV 24801-2029
Phone: 3044368708

STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL (NPI# 1912082512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912082512
Entity Type Organization
Organization Name STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL
Other Organization Name WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC
Practice Address 454 Mcdowell St
Welch
WV 24801-2029
Practice Telephone 3044368708
Practice Fax Number 3044368716
Mailing Telephone 3044368682
Mailing Fax Number 3044368716
Enumeration Date 2006-10-25
Last Update Date 2020-04-02
Authorized Official Name MR. MARK F SIMPSON (CEO)
Authorized Official Telephone 3044368708
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility EXEMPT WV Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 0001848001 05

Other Provider/Organization Names

Other Name Type Code
Welch Community Hospital Golden Harvest LTC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154476513 State of West Virginia Welch Emergency Hospital Specialist 454 Mcdowell St, Welch, WV 24801-2029 2007-01-24

Office Location

Street Address 454 MCDOWELL ST
City WELCH
State WV
Zip Code 24801-2029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306883921 Julieta B. Sison Physician Assistant 454 Mcdowell St, Welch, WV 24801-2029 2006-06-01
1194362657 Mary A Grimmett Nurse Practitioner 454 Mcdowell St, Welch, WV 24801-2029 2019-12-04
1104324409 Community Health Systems Inc Obstetrics & Gynecology 454 Mcdowell St, Welch, WV 24801-2029 2018-02-01
1487176517 Dorothy Marie Green Nurse Practitioner 454 Mcdowell St, Welch, WV 24801-2029 2017-07-11
1750834644 Ashley Nicole Darago Nurse Practitioner 454 Mcdowell St, Welch, WV 24801-2029 2016-07-27
1093196883 James C Salyers Emergency Medicine 454 Mcdowell St, Welch, WV 24801-2029 2015-06-17
1780006049 Brittany Grace Addair Physician Assistant 454 Mcdowell St, Welch, WV 24801-2029 2014-01-06
1881023117 Appalachian Mountains Medical, LLC Anesthesiology 454 Mcdowell St, Welch, WV 24801-2029 2013-11-07
1740564566 Charlotte Buckner Nurse Practitioner 454 Mcdowell St, Welch, WV 24801-2029 2011-09-29
1831370469 Erica Lynn Damewood Nurse Anesthetist, Certified Registered 454 Mcdowell St, Team Health/welch Community Hospital, Welch, WV 24801-2029 2007-11-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144821687 Amy Marie Dotson Technician 124973 Loop Seven Highway, Welch, WV 24801 2020-11-02
1386243947 Lora Bailey Technician Riverside Dr, Welch, WV 24801 2020-10-23
1154929545 Amber Stacy Technician 3057 Maple Acres Road, Bluefield, WV 24801 2020-10-16
1639625270 Kelly Beth Belt Physician Assistant 454 Mcdowell Street, Welch, WV 24801 2016-09-01
1396177333 Donna Flaim Physician Assistant 19771 Coal Heritage Road Suite102, Welch, WV 24801 2013-08-01
1821437617 Joshua Matthew Hopkins Physician Assistant 19771 Coal Heritage Road Suite 102, Welch, WV 24801 2013-06-14
1417088741 Mcdowell Professioal Sleep Lab Specialist/Technologist, Other Route52 Main Street, Welch, WV 24801 2007-03-08
1073656641 Looney Enterprises LLC Optometrist 794 Virginia Ave., Welch, WV 24801 2007-02-14
1124115829 Rahmet Muzaffer Pediatrics 66 Elkins Street, Welch, WV 24801 2006-10-06
1619920600 Nichole Maureen Horsford, M.d. Psychiatry & Neurology 151 Rt. 52 North, Welch, WV 24801 2006-05-18
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336524586 Bridgeport Health Care Center, LLC Nursing Facility/Intermediate Care Facility Rt 4 Box 17, Bridgeport, WV 26330-9509 2015-07-29
1629453766 Rainelle Center LLC Nursing Facility/Intermediate Care Facility 276 Pennsylvania Ave, Rainelle, WV 25962-1177 2015-07-29
1558754507 Lewisburg Center LLC Nursing Facility/Intermediate Care Facility 979 Rocky Hill Rd, Ronceverte, WV 24970-8028 2015-03-16
1467845412 Wellsburg Center LLC Nursing Facility/Intermediate Care Facility 70 Valley Haven Dr, Wellsburg, WV 26070-2625 2015-03-16
1508254319 Mary Bird Nursing Facility/Intermediate Care Facility 590 North Poplar Fork Rd, Hurricane, WV 25526-9434 2014-12-31
1952536377 Springfield Center LLC Nursing Facility/Intermediate Care Facility 10797 Seneca Trl S, Lindside, WV 24951-7345 2009-05-29
1720281975 Pleasant Valley Nursing and Rehabilitation Center, Inc. Nursing Facility/Intermediate Care Facility 640 Sandhill Rd, Pt Pleasant, WV 25550-2163 2007-06-06
1255427415 Bridgeport Senior Living, LLC Nursing Facility/Intermediate Care Facility Rr 4 Box 17, Bridgeport, WV 26330-9509 2006-10-05
1194816025 Lakin Hospital Nursing Facility/Intermediate Care Facility 1 Bateman Cir, Lakin, WV 25287-9784 2006-09-27
1922100031 Morgantown Healthcare Corp Nursing Facility/Intermediate Care Facility 30 Vandervort Dr, Morgantown, WV 26505 2006-09-01
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Competitor

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City WELCH
Zip Code 24801

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Dataset Information

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.

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