JEFFERSON MEDICAL CENTER – NPI #1891722377
General Acute Care Hospital

JEFFERSON MEDICAL CENTER is a general acute care hospital located in RANSON, WV. NPPES has assigned the NPI number 1891722377 to JEFFERSON MEDICAL CENTER on June 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JEFFERSON MEDICAL CENTER” is a dba name, the actual legal business name for this organization is JEFFERSON MEMORIAL HOSPITAL. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 3 years ago on Oct 12, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSON MEDICAL CENTER below.

NPI Profile for
JEFFERSON MEMORIAL HOSPITAL

NPI Number
1891722377
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFERSON MEMORIAL HOSPITAL
Doing Business As (dba): JEFFERSON MEDICAL CENTER
Primary location
300 S. PRESTON STREET
RANSON, WV 25438-1631
Phone: (304) 728-1600 Fax: (304) 725-9492
Mailing address
PO BOX 1170
MORGANTOWN, WV 26507-1170
Phone: (304) 598-6795 Fax: (304) 598-6381
Organization Subpart
Yes - JEFFERSON MEDICAL CENTER is subpart of another organization.
Authorized Official
KATHLEEN QUINONES
INTERIM VP FINANCE
Phone: (304) 260-1443
Updated
Certification Date
Oct 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEFFERSON MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDWV000304490
medicaidMD005805000
medicaidVA005100682
medicaidWV3810004211
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
WV 103

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.13.34.110.1.998.01
Content Type
Affiliation
Y
Endpoint Location
7500 SECURITY BLVD,
BALTIMORE, MD 77025-1669

Endpoint
https://www.mettles.com
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.6037.1
Content Type
Affiliation
N
Endpoint Location
10320 LITTLE PATUXENT PARKWAY,
COLUMBIA, MD 77025-1669