Organization
GREENBRIER VMC LLC
Active
Organization
GREENBRIER VMC LLC
Active
Other names
Greenbrier Valley Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
202 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 647-4411
(304) 647-6010
Mailing address
13662 COLLECTION CENTER DR, CHICAGO, IL 60693-0136
(304) 647-4411
(304) 647-6010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WV
Enumeration date
05/24/2007
Last updated
09/11/2025
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