Organization Name: | REYNOLDS MEMORIAL HOSPITAL, INC. |
NPI Number: | 1861698953 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN A. SICURELLA (CEO) |
Mailing Address: | 800 Wheeling Ave 2nd Floor Glen Dale |
State: | WV US |
Postal Code: | 260381660 |
Phone Number: | 3048533379 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 08/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | OP0551193 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |