Organization
POTOMAC VALLEY HOSPITAL OF W VA , INC
Active
Parent organization
POTOMAC VALLEY HOSPITAL OF W VA , INC
Other names
Mineral County Rural Health Clinic of Potomac Valley Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC VALLEY HOSPITAL OF W VA , INC
Authorized official
SUE A WELLS (SENIOR DIRECTOR OF CLINIC OPERATION)
(304) 597-3525
Entity
Organization
Contact information
Practice address
100 PIN OAK LN STE 3, KEYSER, WV 26726-5908
(304) 597-3790
(304) 597-3564
Mailing address
1370 JOHNSON AVE STE 102, BRIDGEPORT, WV 26330-1492
(681) 342-3453
(304) 842-2333
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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