Organization
GRANT MEMORIAL HOSPITAL
Active
Other names
Grant Memorial Hospital Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W MILVET JR. (CEO)
(304) 257-5800
Entity
Organization
Contact information
Practice address
65 HOSPITAL DR STE 103, PETERSBURG, WV 26847-9549
(304) 257-4331
(304) 257-1115
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-1026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
07/11/2019
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