Organization
MONTGOMERY GENERAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI MURRAY (CFO)
(304) 442-1246
Entity
Organization
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-5151
(304) 442-7494
Mailing address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-5151
(304) 442-7494
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
72
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001386000
—
WV
05
—
0001386003
—
WV
01
—
000303151
BLUE CROSS BLUE SHIELD
WV
01
—
032083700
BLACK LUNG
WV
05
—
3810001437
—
WV
05
—
3810001695
—
WV
Enumeration date
06/20/2006
Last updated
04/12/2023
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