Reynolds Memorial Hospital Home Infusion

LBN: Reynolds Memorial Hospital, Inc.
Reynolds Memorial Hospital Home Infusion is an health care organization with primary practice located at 800 Wheeling Ave 2Nd Floor, Glen Dale WV 26038-1660. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Reynolds Memorial Hospital, Inc. can be contacted via phone (304) 853-3379, or through Sicurella, John A. via phone (304) 843-3379.

Contact Information

Primary practice address
800 Wheeling Ave 2Nd Floor Glen Dale WV 26038-1660
Phone: (304) 853-3379
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sicurella, John A.
Phone: (304) 843-3379

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X OP0551193 West Virginia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X OP0551193 West Virginia

Profile Details

NPI number 1861698953
LBN Legal business name Reynolds Memorial Hospital, Inc.
DBA Doing business as Reynolds Memorial Hospital Home Infusion
Authorized official Sicurella, John A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 25th, 2007
Last updated Aug 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861698953 NPPES
West Virginia MEDICAID 0001309003
West Virginia Other INF045
West Virginia Other 001748043

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