Organization
CITY HOSPITAL INC
Active
Other names
Group Practice - Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GROVER GLENDON KERNS (VP OF FINANCE)
(304) 260-1443
Entity
Organization
Contact information
Practice address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000
Mailing address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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