# GRANT MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grant Memorial Skilled Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811936032
- **Authorized official:** MR. ROBERT W MILVET JR. (CEO)
- **Authorized official phone:** (304) 257-5800

## Contact information

- **Practice address:** 1 HOSPITAL DRIVE, PETERSBURG, WV 26847
- **Practice address phone:** (304) 257-1026
- **Practice address fax:** (304) 257-1932
- **Mailing address:** PO BOX 1019, PETERSBURG, WV 26847-1019
- **Mailing address phone:** (304) 257-1026
- **Mailing address fax:** (304) 257-1932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 21 | WV | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 03/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001375001 | — | WV |