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
410 E MAIN ST, KINGWOOD, WV 26537-1723
(304) 329-3565
(304) 329-4709
Mailing address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-3565
(304) 329-4709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
56
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001274001
—
WV
Enumeration date
06/06/2006
Last updated
07/29/2009
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