Organization Name: | CITY OF SISTERSVILLE |
NPI Number: | 1154722924 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MAY (CEO) |
Mailing Address: | 201 2nd St Saint Marys |
State: | WV US |
Postal Code: | 261701003 |
Phone Number: | 3046522611 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |