Provider Demographics
NPI: | 1679241152 |
---|---|
Name: | WEBSTER MEMORIAL HOSPITAL, INC. |
Entity type: | Organization |
Organization Name: | WEBSTER MEMORIAL HOSPITAL, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BILL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DEMPSEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 304-847-5682 |
Mailing Address - Street 1: | 125 DIANA DR |
Mailing Address - Street 2: | |
Mailing Address - City: | WEBSTER SPRINGS |
Mailing Address - State: | WV |
Mailing Address - Zip Code: | 26288-9078 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 304-847-5682 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 125 DIANA DR |
Practice Address - Street 2: | |
Practice Address - City: | WEBSTER SPRINGS |
Practice Address - State: | WV |
Practice Address - Zip Code: | 26288-9078 |
Practice Address - Country: | US |
Practice Address - Phone: | 304-847-5682 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-08-31 |
Last Update Date: | 2024-05-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 282NC0060X | Hospitals | General Acute Care Hospital | Critical Access | Group - Multi-Specialty |
No | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | Group - Multi-Specialty | |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
No | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Group - Multi-Specialty | |
No | 261QC0050X | Ambulatory Health Care Facilities | Clinic/Center | Critical Access Hospital | Group - Multi-Specialty |
No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |