Healthcare Provider Details

I. General information

NPI: 1922951300
Provider Name (Legal Business Name): CITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 VALLEY RD
BERKELEY SPRINGS WV
25411-4696
US

IV. Provider business mailing address

PO BOX 990
MORGANTOWN WV
26507-0990
US

V. Phone/Fax

Practice location:
  • Phone: 304-258-8824
  • Fax:
Mailing address:
  • Phone: 304-264-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GROVER GLENDON KERNS III
Title or Position: VP OF FINANCE
Credential:
Phone: 304-260-1443