# VERTERN'S AFFAIRS MEDICAL CENTER

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

## Provider details

- **NPI number:** 1285960690
- **Authorized official:** DR. EURONE NMN GRAHAM PHD, LCSW, LICSW (ER MENTAL HEALTH CONSULTANT)
- **Authorized official phone:** (304) 263-0811

## Contact information

- **Practice address:** 510 BUTLER AVE, MARTINSBURG, WV 25405-9990
- **Practice address phone:** (304) 263-0811
- **Practice address fax:** (304) 262-4844
- **Mailing address:** 510 BUTLER AVE, MARTINSBURG, WV 25405-9990
- **Mailing address phone:** (304) 263-0811
- **Mailing address fax:** (304) 262-4844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | C7013 | MS | — |
| 286500000X | Military Hospital | DP00943390 | WV | Yes |
| 286500000X | Military Hospital | KY-903 | KY | — |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 10/20/2009