# CITY HOSPITAL, INC.

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

## Provider details

- **NPI number:** 1720960479
- **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 105B, MARTINSBURG, WV 25401-9401
- **Practice address phone:** (304) 596-5757
- **Mailing address:** PO BOX 990, MORGANTOWN, WV 26507-0990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/23/2025
- **Last updated:** 07/23/2025