GRANT MEMORIAL HOSPITAL NPI 1245238237

NPI Information

NPI: 1245238237
Provider Name: GRANT MEMORIAL HOSPITAL

Doing Business As: POTOMAC VALLEY FAMILY MEDICINE-PETERSBURG

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
8 LEE ST
SUITE 3
MOOREFIELD, WV
ZIP 26836
Phone: (304) 538-7707
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GRANT MEMORIAL HOSPITAL is a multi-specialty clinic center in Moorefield, WV. GRANT MEMORIAL HOSPITAL NPI is 1245238237. The provider is registered as an organization entity type.
The provider Is Doing Business As Potomac Valley Family Medicine-petersburg.

The provider's business location address is:

8 LEE ST
SUITE 3
MOOREFIELD, WV
ZIP 26836-091
Phone: (304) 538-7707
Fax: (304) 538-7706

The provider's authorized official is Sandy M Michaels .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 257-1026.

The CLIA number assigned to this NPI record is 51D0707042 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001375015	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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