Organization Name: | POTOMAC VALLEY HOSPITAL OF W VA, INC |
NPI Number: | 1063649606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAROLD A MCBEE (OWNER) |
Mailing Address: | 122 Ashfield St Piedmont |
State: | WV US |
Postal Code: | 267501300 |
Phone Number: | 3043552323 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2009 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |