# POTOMAC VALLEY HOSPITAL OF W VA , 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
- **Parent organization:** POTOMAC VALLEY HOSPITAL OF W VA , INC
- **Other names:** Fort Ashby Medical Center of Potomac Valley Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902444987
- **Legal business name:** POTOMAC VALLEY HOSPITAL OF W VA , INC
- **Authorized official:** SUE A WELLS (SENIOR DIRECTOR OF CLINIC OPERATION)
- **Authorized official phone:** (304) 597-3525

## Contact information

- **Practice address:** 10261 FRANKFORT HWY, FORT ASHBY, WV 26719-4533
- **Practice address phone:** (304) 597-3600
- **Practice address fax:** (304) 285-3963
- **Mailing address:** 1370 JOHNSON AVE STE 102, BRIDGEPORT, WV 26330-1492
- **Mailing address phone:** (681) 342-3453
- **Mailing address fax:** (304) 824-4233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2019
- **Last updated:** 12/20/2019