Organization Name: | CITY OF SISTERSVILLE |
NPI Number: | 1710203419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN KEITH LOWTHER (CEO) |
Mailing Address: | 314 S Wells St Sistersville |
State: | WV US |
Postal Code: | 261751098 |
Phone Number: | 3046522611 |
Fax Number: | 3046521448 |
NPI Enumeration Date: | 04/20/2010 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 513412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |