Organization
CITY HOSPITAL INC
Active
Other names
City Hospital Anesthesia Department
Organization subpart
No
Provider details
NPI number
Authorized official
GROVER GLENDON KERNS (VP OF FINANCE)
(304) 260-1443
Entity
Organization
Contact information
Practice address
880 N TENNESSEE AVE STE 104, MARTINSBURG, WV 25401-9401
(304) 596-5160
(304) 596-5161
Mailing address
PO BOX 6866, WHEELING, WV 26003-0923
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/09/2010
Last updated
06/20/2025
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