MOUNTAINEER HEALTHCARE FOR WOMEN – NPI #1669633962
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

MOUNTAINEER HEALTHCARE FOR WOMEN is a provider located in WESTON, WV. NPPES has assigned the NPI number 1669633962 to MOUNTAINEER HEALTHCARE FOR WOMEN on June 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOUNTAINEER HEALTHCARE FOR WOMEN” is a dba name, the actual legal business name for this organization is STONEWALL JACKSON MEMORIAL HOSPITAL. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 18 years ago on Jun 26, 2008. 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 MOUNTAINEER HEALTHCARE FOR WOMEN below.

NPI Profile for
STONEWALL JACKSON MEMORIAL HOSPITAL

NPI Number
1669633962
Enumeration Date

(about 18 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
STONEWALL JACKSON MEMORIAL HOSPITAL
Doing Business As (dba): MOUNTAINEER HEALTHCARE FOR WOMEN
Primary location
66 HOSPITAL PLZ
SUITE 103
WESTON, WV 26452-8552
Phone: (304) 269-3108 Fax: (304) 269-3109
Mailing address
230 HOSPITAL PLZ
WESTON, WV 26452-8558
Phone: (304) 269-8000 Fax: (304) 269-8090
Organization Subpart
No
Authorized Official
DAVID SHAFFER
ADMINISTRATOR
Phone: (304) 269-8000
Updated
Identifiers

Identifiers for MOUNTAINEER HEALTHCARE FOR WOMEN

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
MEDICAIDWV0001417002
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
207V00000X
- Obstetrics & Gynecology (Primary)
WV 20690

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.