# CITY HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY HOSPITAL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669261467
- **Legal business name:** CITY HOSPITAL INC
- **Authorized official:** GROVER GLENDON KERNS (VP OF FINANCE)
- **Authorized official phone:** (304) 260-1443

## Contact information

- **Practice address:** 880 N TENNESSEE AVE STE 105A, MARTINSBURG, WV 25401-9401
- **Practice address phone:** (304) 596-2149
- **Practice address fax:** (304) 596-5168
- **Mailing address:** 880 N TENNESSEE AVE STE 105A, MARTINSBURG, WV 25401-9401
- **Mailing address phone:** (304) 596-2149
- **Mailing address fax:** (304) 596-5168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/06/2025
- **Last updated:** 05/06/2025