Organization
GRANT MEMORIAL HOSPITAL
Active
Other names
Grant Memorial Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W MILVET JR. (CEO)
(304) 257-5800
Entity
Organization
Contact information
Practice address
1 HOSPITAL DRIVE, PETERSBURG, WV 26847
(304) 257-1026
(304) 257-1932
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-1026
(304) 257-1932
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
21
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001375001
—
WV
Enumeration date
06/05/2006
Last updated
03/07/2019
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