The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1861698953 |
NPI Entity Type | Organization |
Provider Name |
Reynolds Memorial Hospital, Inc.
Doing Business As |
Subpart of Organization | Reynolds Memorial Hospital, Inc. |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 800 Wheeling Ave, 2nd Floor, Glen Dale, WV, US |
Provider Mailing Address | 800 Wheeling Ave, 2nd Floor, Glen Dale, WV, US, 260381660 |
Is Sole Proprietor? | No |
Official Name | John A. Sicurella |
Official Position | CEO |
Phone | 304-843-3379 |
Taxonomy Code | |
Taxonomy Name | Home Infusion Therapy Pharmacy |
Classification | |
Group | |
License No. | OP0551193 |
License State | WV |
Description | Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
OP0551193 | WV | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
0001309003 | WV | MEDICAID | 05 |
INF045 | WV | UPPER OHIO VALLEY HP PROV | 01 |
001748043 | WV | MT. STATE BCBS | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Jennifer Knight Individual |
829 Fairmont Rd |
||
MR. Wayne Matthew Bachelor Individual |
1057 6th Ave |
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Melissa Jones Individual |
200 Association Dr Ste 130 |
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Gideon Mossor Individual |
200 Association Dr Ste 130 |
||
Tanisha Wilson Individual |
200 Association Dr Ste 130 |
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Deloris Ann Hopkins Individual |
42 Parrish Ln |
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Elizabeth Neal Individual |
1614 S Kanawha St |
||
Luke Petrice Individual |
710 Maple St |
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Joshua Riley Individual |
200 Association Dr Ste 130 |
||
Karie Morrison Individual |
10 6th Ave W |
||
Katelyn Lucas Individual |
712 Mercer St Ste D |
||
Jenna Taylor Individual |
10 6th Ave W |
||
Tisean Jayree Walker Individual |
1650 Glenway Ln |
||
Montana Wallace Individual |
10 6th Ave W |
||
Natasha Sharon Sexton Individual |
400 Bluefield St Lot 16 |
||
Katheryn Joyce Bailey Individual |
1236 Madison Ave |
||
Alexis Perry Individual |
712 Mercer St Ste D |
||
Stevie Dawn Cline Individual |
695 Mountaineer Hwy |
||
Britney Brogan Individual |
267 Midway Rd |
||
Mary Mccullough Individual |
1599 2nd Ave |
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