Organization
GRANT MEMORIAL HOSPITAL
Active
Other names
Potomac Valley Physicians for Women
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BETH BARR (CEO)
(304) 257-1026
Entity
Organization
Contact information
Practice address
HOSPITAL DRIVE, PETERSBURG, WV 26847
(304) 257-2152
(304) 257-2928
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-1026
(304) 257-1932
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206602000
—
WV
Enumeration date
07/14/2005
Last updated
01/26/2017
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