| Potomac Valley Hospital Of W Va , Inc | |
|
100 Pin Oak Ln Ste 3 Keyser WV 26726-5908 | |
| (304) 597-3790 | |
| (304) 597-3564 |
| Full Name | Potomac Valley Hospital Of W Va , Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Pin Oak Ln Ste 3, Keyser, West Virginia |
| Authorized Official Name and Position | Sue A Wells (SENIOR DIRECTOR OF CLINIC OPERATION) |
| Authorized Official Contact | 3045973525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Valley Hospital Of W Va , Inc 1370 Johnson Ave Ste 102 Bridgeport WV 26330-1492 Ph: (681) 342-3453 | Potomac Valley Hospital Of W Va , Inc 100 Pin Oak Ln Ste 3 Keyser WV 26726-5908 Ph: (304) 597-3790 |
| NPI Number | 1467090449 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 8123917788 |
|---|---|
| Medicare Enrollment ID | O20200221001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467090449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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