Healthcare Provider Details

I. General information

NPI: 1568038057
Provider Name (Legal Business Name): GRAFTON CITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL PLAZA
GRAFTON WV
26354
US

IV. Provider business mailing address

1 HOSPITAL PLAZA
GRAFTON WV
26354
US

V. Phone/Fax

Practice location:
  • Phone: 304-265-0400
  • Fax: 304-265-6443
Mailing address:
  • Phone: 304-265-0400
  • Fax: 304-265-6443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE C BOYLES
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 304-265-7152