Organization
POTOMAC VALLEY HOSPITAL OF W VA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA K SHROYER (CEO)
(304) 597-3510
Entity
Organization
Contact information
Practice address
433 S MINERAL ST, KEYSER, WV 26726-2938
(304) 597-1125
Mailing address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-1258
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001170102
—
WV
Enumeration date
01/19/2007
Last updated
12/22/2014
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