Organization
CITY HOSPITAL INC
Active
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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