Organization Name: | POTOMAC VALLEY HOSPITAL OF W VA, INC |
NPI Number: | 1205989894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA K SHROYER (CEO) |
Mailing Address: | 433 S Mineral St Keyser |
State: | WV US |
Postal Code: | 267262938 |
Phone Number: | 3045971125 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |