| Marietta Memorial Hospital Of Tyler County Inc | |
|
305 Clay St Sistersville WV 26175-1059 | |
| (304) 447-2038 | |
| (304) 447-3990 |
| Full Name | Marietta Memorial Hospital Of Tyler County Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 Clay St, Sistersville, West Virginia |
| Authorized Official Name and Position | Paul Westbrock (VP, LEGAL AFFAIRS) |
| Authorized Official Contact | 7403741581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta Memorial Hospital Of Tyler County Inc C/o Paul Westbrock 314 S Wells St Sistersville WV 26175 Ph: (304) 652-2611 | Marietta Memorial Hospital Of Tyler County Inc 305 Clay St Sistersville WV 26175-1059 Ph: (304) 447-2038 |
| NPI Number | 1598364168 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 05/07/2021 |
| Medicare PECOS PAC ID | 4385055342 |
|---|---|
| Medicare Enrollment ID | O20210208000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598364168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
City Of Sistersville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clay St, Sistersville, WV 26175 Phone: 304-447-2038 Fax: 304-447-3990 |