Healthcare Provider Details

I. General information

NPI: 1548199649
Provider Name (Legal Business Name): CITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 SOMERSET BLVD STE 100
CHARLES TOWN WV
25414-4998
US

IV. Provider business mailing address

PO BOX 990
MORGANTOWN WV
26507-0990
US

V. Phone/Fax

Practice location:
  • Phone: 304-728-9797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

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