CITY OF SISTERSVILLE; NPI #1538263942

Contact Information

CITY OF SISTERSVILLE

242 OXFORD ST
SISTERSVILLE, WV 26175-1029

Phone: 304-652-2611
Fax: 304-652-1448
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CITY OF SISTERSVILLE

NPI # 1538263942

LBN Legal business name CITY OF SISTERSVILLE

Authorized official BRANDON CHADOCK - (AO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 09/08/2006

Last updated 10/22/2020 - About 6 years ago

Identifiers

WV	License #	44811
WV	Medicaid	0002178004

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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