# POTOMAC VALLEY HOSPITAL OF W VA , INC

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

## Provider details

- **NPI number:** 1144031634
- **Authorized official:** SUE A WELLS (SR DIRECTOR OF PROV SERVICES)
- **Authorized official phone:** (304) 597-3525

## Contact information

- **Practice address:** 819 S MINERAL ST, KEYSER, WV 26726-8218
- **Practice address phone:** (304) 597-3633
- **Mailing address:** 819 S MINERAL ST, KEYSER, WV 26726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 01/15/2025
- **Last updated:** 01/15/2025