# GRANT MEMORIAL HOSPITAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1679269583
- **Authorized official:** JOHN SYLVIA (PRESIDENT AND CEO)
- **Authorized official phone:** (304) 257-1026

## Contact information

- **Practice address:** 117 HOSPITAL DR, PETERSBURG, WV 26847-9566
- **Practice address phone:** (304) 257-1026
- **Practice address fax:** (304) 257-9776
- **Mailing address:** PO BOX 1019, PETERSBURG, WV 26847-1019
- **Mailing address phone:** (304) 257-1026
- **Mailing address fax:** (304) 257-9776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 04/13/2023
- **Last updated:** 12/08/2023