# POTOMAC VALLEY HOSPITAL OF W VA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RIVERSIDE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063649606
- **Authorized official:** MR. HAROLD A MCBEE (OWNER)
- **Authorized official phone:** (410) 643-3393

## Contact information

- **Practice address:** 122 ASHFIELD ST, PIEDMONT, WV 26750-1300
- **Practice address phone:** (304) 355-2323
- **Mailing address:** 100 PIN OAK LN, KEYSER, WV 26726-5908
- **Mailing address phone:** (304) 597-3500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 04/05/2010