WETZEL PRIMARY CARE
NPI 1255963120
Clinic/Center - Rural Health in New Martinsville, WV

NPI Status: Active since February 10, 2020

Contact Information

3 E BENJAMIN DR
NEW MARTINSVILLE, WV
ZIP 26155
Phone: (304) 455-8000

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 51D0236097
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About WETZEL PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Wetzel Primary Care, a primary care provider established in New Martinsville, West Virginia operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1255963120 assigned on February 2020. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Wetzel Primary Care. The authorized official of this NPI record is Dr. David F Hess Md (President & Ceo)

NPI
1255963120
Provider Legal Name
WETZEL COUNTY HOSPITAL, INC.
Other Organization Name
WETZEL PRIMARY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3 E BENJAMIN DR NEW MARTINSVILLE, WV 26155
Location Phone
(304) 455-8000
Mailing Address
3 E BENJAMIN DR NEW MARTINSVILLE, WV 26155
Mailing Phone
(304) 455-8000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2020
Last Update Date
10-21-2023
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A primary care provider (PCP) like Wetzel Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5400 for HSA - HMO
  • Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
  • my Blue Access WV PPO Bronze 8900 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Silver 7000 - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 1500 - PPO
  • my Blue Access WV PPO Standard Silver 5000 - PPO
  • my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
  • Bronze 10 - HMO
  • Bronze 8 - HMO
  • Bronze 9 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID F HESS MD

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(304) 455-8000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D0236097
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. NASIR KHAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Wetzel Primary Care on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for WETZEL PRIMARY CARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255963120
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105186614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 6 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255963120 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477654531 MONA MILAD MOHAREB MD
Individual
Anesthesiology3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1588742159DR. ROBERT DWIGHT MORRIS JR. D.O.
Individual
Internal Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8100
1992920862MISS CANDACE G MCBEE
Individual
Speech-Language Pathologist3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1659577542MR. C THOMAS BRODEGARD
Individual
Occupational Therapist3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1033366265FIRST SETTLEMENT ORTHOPAEDICS INC
Organization
Orthopaedic Surgery3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(740) 373-8756
1801831250MS. SHAWN K CORE FNP-BC
Individual
Nurse Practitioner (Family)3 E BENJAMIN DR SUITE B
NEW MARTINSVILLE, WV 26155
(304) 455-8082
1770968596MR. JAMES EDWARD WEED FNP
Individual
Nurse Practitioner (Family)3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8082
1962867408WHEELING HOSPITAL, INC.
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 243-3000
1518590033WETZEL COUNTY HOSPITAL, INC.
Organization
Family Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1194753145WETZEL COUNTY HOSPITAL ASSOCIATION
Organization
Emergency Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8010
1326115221WETZEL COUNTY HOSPITAL ASSOCIATION
Organization
Skilled Nursing Facility3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1891781803 GARY A NICHOLS MD
Individual
Family Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8080
1730396482WETZEL COUNTY HOSPITAL
Organization
Durable Medical Equipment & Medical Supplies3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1184679029 ZAKI M ELSARRAG MD
Individual
Emergency Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1396731683 AMANDA DIANE NICHOLS M.D.
Individual
Family Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8080
1497915235DR. JONATHAN C. BLUM MD
Individual
Internal Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1407857667 JOHN ROBERT KING JR. MD
Individual
Emergency Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1316409121DR. JOY CATHERINE KIM MD
Individual
General Practice3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1780683847 VINCENT EDWARD MONSEAU MD
Individual
Emergency Medicine3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000
1538948997MRS. CLARISSA DAWN KIMBALL NP
Individual
Nurse Practitioner (Family)3 E BENJAMIN DR
NEW MARTINSVILLE, WV 26155
(304) 455-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255963120, enumerated in the NPI registry as an "organization" on February 10, 2020

The provider is located at 3 E Benjamin Dr New Martinsville, Wv 26155 and the phone number is (304) 455-8000

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 51D0236097 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on February 10, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.