Organization Name: | PRESTON MEMORIAL HOSPITAL CORPORATION |
NPI Number: | 1013950054 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA LOCKWOOD (PRESIDENT AND CEO) |
Mailing Address: | 150 Memorial Dr Kingwood |
State: | WV US |
Postal Code: | 26537 |
Phone Number: | 3043291400 |
Fax Number: | 3043291175 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 56 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |