# GRANT MEMORIAL HOSPITAL INC

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

## Provider details

- **NPI number:** 1770279689
- **Authorized official:** JOHN SYLVIA (PRESIDENT AND CEO)
- **Authorized official phone:** (304) 257-1026

## Contact information

- **Practice address:** 112 KUYKENDALL LN, MOOREFIELD, WV 26836-1167
- **Practice address phone:** (304) 530-7755
- **Practice address fax:** (304) 530-7756
- **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 |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/13/2023
- **Last updated:** 04/24/2023