Organization
GRANT MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W MILVET JR. (CEO)
(304) 257-1026
Entity
Organization
Contact information
Practice address
117 HOSPITAL DR, PETERSBURG, WV 26847-9566
(304) 257-1026
(304) 257-1932
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-1026
(304) 257-1932
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
21
WV
282N00000X
General Acute Care Hospital
21
WV
282NC0060X
Critical Access Hospital
Primary
21
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001375000
—
WV
05
—
3810016182
—
WV
Enumeration date
07/12/2005
Last updated
02/14/2019
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