# PRESTON MEMORIAL HOSPITAL CORPORATION

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

## Provider details

- **NPI number:** 1306037684
- **Authorized official:** MRS. MELISSA LOCKWOOD (CEO)
- **Authorized official phone:** (304) 329-1400

## Contact information

- **Practice address:** 300 S PRICE ST, KINGWOOD, WV 26537-1442
- **Practice address phone:** (304) 329-2830
- **Practice address fax:** (304) 329-1175
- **Mailing address:** 300 S PRICE ST, KINGWOOD, WV 26537-1442
- **Mailing address phone:** (304) 329-2830
- **Mailing address fax:** (304) 329-1175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 07/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001274005 | — | WV |