Organization
GRANT MEMORIAL HOSPITAL
Active
Other names
POTOMAC VALLEY FAMILY MEDICINE LAB
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY OLIVER (BILLING MANAGER)
(540) 678-3588
Entity
Organization
Contact information
Practice address
8 LEE ST, SUITE 3, MOOREFIELD, WV 26836-1091
(304) 538-7707
(304) 538-7705
Mailing address
136 LINDEN DR, SUITE 104, WINCHESTER, VA 22601-6900
(540) 678-3588
(540) 540-0087
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001375017
—
WV
Enumeration date
09/03/2008
Last updated
09/03/2008
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