# POTOMAC VALLEY HOSPITAL OF W VA , INC

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

## Provider details

- **NPI number:** 1528879277
- **Authorized official:** SUE A WELLS (SR DIRECTOR OF PROVIDER SERVICES)
- **Authorized official phone:** (304) 597-3525

## Contact information

- **Practice address:** 131 STAGGS LN, KEYSER, WV 26726-7003
- **Practice address phone:** (304) 597-3597
- **Mailing address:** 131 STAGGS LN, KEYSER, WV 26726
- **Mailing address phone:** (304) 597-3597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 01/14/2025
- **Last updated:** 01/14/2025