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Contact Information

SUMMERSVILLE REGIONAL MEDICAL CENTER
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV26651-9308
 Phone: 304-872-2891
 Fax: 304-872-8417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Access

282NC0060X A0[7] Critical Access Hospital
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Medicare Defined Swing Bed Unit

275N00000X A0[7] Hospital-Swing Bed Approved
Indicates primary specialty

NPI Profile & details for SUMMERSVILLE REGIONAL MEDICAL CENTER

NPI Number 1104813740
LBN Legal business name SUMMERSVILLE REGIONAL MEDICAL CENTER
Authorized official DEBORAH KINCELL - (REVENUE CYCLE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2005
Last updated 03/10/2020 - About 6 years ago
Identifiers
WV License # 51D0236879
WV License # 61
WV Medicaid 0001243000
WV Other 000301232 BCBS SWING BED
WV Other 013510082 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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