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Organization
PRINCETON COMMUNITY HOSPITAL ASSN., INC.
Active
Organization
PRINCETON COMMUNITY HOSPITAL ASSN., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LYNN SPENCER (VP OF FINANCE/CFO)
(304) 487-7505
Entity
Organization
Contact information
Practice address
122 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 487-7000
(304) 487-7370
Mailing address
PO BOX 1369, PRINCETON, WV 24740-1369
(304) 487-7000
(304) 487-7370
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
104
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001110000
—
WV
05
—
0001111001
—
WV
05
—
0001111002
—
WV
05
—
0008205350001
—
PA
05
—
005100461
—
VA
05
—
00931939
—
NY
05
—
010065000
—
MD
05
—
0150460
—
DC
05
—
01690544
—
KY
05
—
0233590
—
OH
05
—
0350460
—
DC
05
—
092732500
—
FL
05
—
10175A
—
SC
05
—
10180B
—
SC
05
—
5100046
—
NC
Enumeration date
05/17/2006
Last updated
12/08/2023
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