Organization
JEFFERSON MEMORIAL HOSPITAL
Active
Parent organization
WEST VIRGINIA UNIVERSITY HOSPITALS EAST
Other names
Jefferson Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY HOSPITALS EAST
Authorized official
MR. CHRISTOPHER D KNIGHT (VP FINANCE)
(304) 264-1358
Entity
Organization
Contact information
Practice address
912 SOMERSET BLVD, SUITE 100, CHARLES TOWN, WV 25401-3952
(304) 728-1601
(304) 725-3690
Mailing address
2000 FOUNDATION WAY, SUITE 2310, MARTINSBURG, WV 25401-9003
(304) 264-1358
(304) 260-1480
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/17/2014
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