Stonewall Jackson Memorial Hospital is an orthopedic surgery with a current address of 29 Hospital Plz Suite C Weston WV 26452-8470. The NPI is 1841451226, and the license number is 14011 (WV). It was issued on 06/19/2008. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 06/26/2008.
Stonewall Jackson Memorial Hospital can be reached by phone at 3042694431, by mail at 230 Hospital Plz Weston WV 26452-8558, or by fax at 3042699803.
David Shaffer (Administrator) is the authorized representative of the organization and can be reached at this phone number: 3042698000.
Name: Stonewall Jackson Memorial Hospital
Specialization: Orthopedic Surgery
Provider Entity Type: Organization
Is Organization Subpart: No
Authorized Name: David Shaffer
Authorized Title/Position: Administrator
Contact Number: 3042698000
Practice Location Address:
29 Hospital Plz Suite C
Weston
WV 26452-8470
Telephone Number: 3042694431
Fax Number: 3042699803
Mailing Address:
230 Hospital Plz
Weston
WV 26452-8558
Telephone Number: 3042698000
Fax Number: 3042698090
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1841451226
Enumeration Date: 06/19/2008
Last Update: 06/26/2008
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 14011
License State: WV
Taxonomy Group: 193400000x Single Specialty Group
Other Taxonomy (if any):
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
Identifier: 1417002
Code Type: 5
Identifier State: WV
Identifier Issuer:
Other Identifiers (if any):