Healthcare Provider Details

I. General information

NPI: 1447890157
Provider Name (Legal Business Name): PLEASANT VALLEY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
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 DRVIE
POINT PLEASANT WV
25550
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-4500
  • Fax: 306-674-4019
Mailing address:
  • Phone: 304-675-4340
  • Fax: 304-675-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
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: TASHA N GROVES
Title or Position: MEDICAL STAFF COORDINATOR
Credential:
Phone: 304-675-4340