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Organization

PRESTON MEMORIAL HOSPITAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELISSA LOCKWOOD (PRESIDENT AND CEO)
(304) 329-1400
Entity
Organization

Contact information

Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537
(304) 329-1400
(304) 329-1175
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537
(304) 329-1400
(304) 329-1175

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
56
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000303279
BCBS
WV
05
0104806000
WV
01
039578000
BLACK LUNG
WV
01
249804
MAMSI
WV
01
510005
CARELINK
WV
01
B522
HEALTH PLAN
WV
Enumeration date
06/14/2006
Last updated
07/13/2015
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