Grant Memorial Hospital
Clinic/Center, Multi-Specialty in Moorefield, WV. Organization (NPI-2).
NPI number1245238237
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245238237
- Entity type
- Organization (NPI-2)
- Legal business name
- Grant Memorial Hospital
- Organization subpart
- No
- Enumeration date
- Jul 13, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Potomac Valley Family Medicine-Petersburg (Doing Business As)
Practice location
8 Lee StSuite 3
Moorefield, WV 26836-1091
Phone 304-538-7707 · Fax 304-538-7706
Mailing address
Po Box 1019Petersburg, WV 26847-1019
Phone 304-257-1026 · Fax 304-257-1932
Authorized official
Sandy M Michaels
Chief Financial Officer
3052571026
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