Organization
POTOMAC VALLEY HOSPITAL OF W VA, INC
Active
Other names
POTOMAC VALLEY HOSPITAL SWING BED
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINDA K SHROYER (ADMINISTRATOR)
(304) 597-3510
Entity
Organization
Contact information
Practice address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3510
(304) 597-3507
Mailing address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3500
(304) 597-3507
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
02
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000637
—
WV
Enumeration date
05/18/2006
Last updated
07/29/2014
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