# POTOMAC VALLEY HOSPITAL OF W VA , INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033929823
- **Authorized official:** SUE A WELLS (SR DIR OF PROVIDER SERVICES)
- **Authorized official phone:** (304) 597-3525

## Contact information

- **Practice address:** 514 NEW CREEK HWY STE 2, KEYSER, WV 26726-9526
- **Practice address phone:** (304) 597-3577
- **Mailing address:** 514 NEW CREEK HWY STE 2, KEYSER, WV 26726-9526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 01/13/2025