Organization
GRANT MEMORIAL HOSPITAL
Active
Other names
Grant Memorial Hospital Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L. HARMAN (CEO)
(412) 257-2537
Entity
Organization
Contact information
Practice address
ROUTE 4 & 28, PETERSBURG, WV 26847-1019
(304) 257-2537
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-2537
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
OP551225
WV
3336H0001X
Home Infusion Therapy Pharmacy
Primary
OP551225
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001375009
—
WV
Enumeration date
04/19/2007
Last updated
03/12/2008
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