Organization
POTOMAC VALLEY HOSPITAL OF WV, INC.
Active
Parent organization
POTOMAC VALLEY HOSPITAL OF WV, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC VALLEY HOSPITAL OF WV, INC.
Authorized official
MARK G BOUCOT (PRESIDENT/CEO)
(304) 597-3510
Entity
Organization
Contact information
Practice address
566 S MINERAL ST, KEYSER, WV 26726-2937
(304) 788-6685
(304) 788-5412
Mailing address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3532
(304) 597-3536
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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