Organization
POTOMAC VALLEY HOSPITAL OF W VA , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE A WELLS (DIR PROV SUPPORT SERVICES)
(304) 597-3525
Entity
Organization
Contact information
Practice address
100 PIN OAK LANE, KEYSER, WV 26726-2643
(304) 597-3500
Mailing address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000782
—
WV
Enumeration date
08/23/2006
Last updated
01/29/2026
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