Organization
GRANT MEMORIAL HOSPITAL
Active
Other names
Grant Memorial Hospital Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY M MICHAELS (CHIEF FINANCIAL OFFICER)
(304) 257-5802
Entity
Organization
Contact information
Practice address
1 HOSPITAL DRIVE, PETERSBURG, WV 26847
(304) 257-1026
(304) 257-2093
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-1026
(304) 257-1932
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001375003
—
WV
Enumeration date
02/10/2006
Last updated
08/22/2020
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