| Marietta Memorial Hospital Of Tyler County Inc | |
|
100 Fair St Middlebourne WV 26149-9525 | |
| (304) 758-5000 | |
| (304) 758-5022 |
| Full Name | Marietta Memorial Hospital Of Tyler County Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Fair St, Middlebourne, 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 100 Fair St Middlebourne WV 26149-9525 Ph: (304) 758-5000 |
| NPI Number | 1508465162 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 05/07/2021 |
| Medicare PECOS PAC ID | 4385055342 |
|---|---|
| Medicare Enrollment ID | O20201210003158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508465162 | 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: 100 Fair St, Middlebourne, WV 26149 Phone: 304-447-2471 Fax: 304-447-2471 | |
Wetzel County Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Fair Ave, Middlebourne, WV 26149 Phone: 304-758-5100 Fax: 304-758-4646 |