Healthcare Provider Details

I. General information

NPI: 1598975120
Provider Name (Legal Business Name): PLEASANT VALLEY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 VALLEY DR
PT PLEASANT WV
25550-2031
US

IV. Provider business mailing address

2520 VALLEY DR
PT PLEASANT WV
25550-2031
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-4340
  • Fax: 304-675-5893
Mailing address:
  • Phone: 304-675-4340
  • Fax: 304-675-5893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number6
License Number StateWV

VIII. Authorized Official

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