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Organization

GREENBRIER VMC LLC

Active
Parent organization
GREENBRIER VMC LLC
Other names
Greenbrier Valley Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREENBRIER VMC LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization

Contact information

Practice address
202 MAPLEWOOD AVE, RONCEVERTE, WV 24970
(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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
55
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010641000
WV
Enumeration date
05/30/2006
Last updated
04/01/2021
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