Potomac Valley Family Medicine-Petersburg

LBN: Grant Memorial Hospital
Potomac Valley Family Medicine-Petersburg is an health care organization with primary practice located at 8 Lee St Suite 3, Moorefield WV 26836-1091. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Grant Memorial Hospital can be contacted via phone (304) 538-7707, or through Michaels, Sandy M via phone (305) 257-1026.

Contact Information

Primary practice address
8 Lee St Suite 3 Moorefield WV 26836-1091
Fax: (304) 538-7706
Website:
Authorized official contact:
Name: Michaels, Sandy M

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1245238237
LBN Legal business name Grant Memorial Hospital
DBA Doing business as Potomac Valley Family Medicine-Petersburg
Authorized official Michaels, Sandy M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245238237 NPPES
West Virginia MEDICAID 0001375015

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