Healthcare Provider Details

I. General information

NPI: 1164826475
Provider Name (Legal Business Name): PLEASANT VALLEY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 VALLEY DR
POINT PLEASANT WV
25550-2031
US

IV. Provider business mailing address

2520 VALLEY DR
POINT PLEASANT WV
25550-2031
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-4340
  • Fax: 304-675-1328
Mailing address:
  • Phone: 304-675-4340
  • Fax: 304-675-1328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. TASHA GROVES
Title or Position: CREDENTIALING
Credential:
Phone: 304-675-4340