GRANT MEMORIAL HOSPITAL NPI 1669885158

NPI Information

  • NPI: 1669885158
  • Provider Name: GRANT MEMORIAL HOSPITAL
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: GRANT MEMORIAL HOSPITAL FAMILY MEDICINE CLINIC
  • Address: 65 HOSPITAL DR
    SUITE 106
    PETERSBURG, WV
    ZIP 26847
  • Phone: (304) 257-4511

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NPI Details

GRANT MEMORIAL HOSPITAL is a family medicine in Petersburg, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRANT MEMORIAL HOSPITAL NPI is 1669885158. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grant Memorial Hospital Family Medicine Clinic.

The provider's business location address is:

65 HOSPITAL DR
SUITE 106
PETERSBURG, WV
ZIP 26847-549
Phone: (304) 257-4511
Fax: (304) 257-4511

The provider's authorized official is Robert W Milvet .
The authorized official title is Ceo and has the following contact phone number (305) 257-5800.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 3/7/2019.

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
1207Q00000XFamily Medicine21WEST VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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