Healthcare Provider Details

I. General information

NPI: 1336078583
Provider Name (Legal Business Name): CITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PROFESSIONAL CT STE C
MARTINSBURG WV
25401-8803
US

IV. Provider business mailing address

PO BOX 990
MORGANTOWN WV
26507-0990
US

V. Phone/Fax

Practice location:
  • Phone: 304-263-8853
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

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