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General NPI Number Information
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NPI Number | 1376492074
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Entity Type | Organization
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Legal Business Name | CITY HOSPITAL INC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 912 SOMERSET BLVD STE 101
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City | CHARLES TOWN
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State | WV
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Zip | 25414-3954
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Country | US
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Telephone | 304-725-2663
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | MORGANTOWN
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State | WV
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Zip | 26507-0990
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Country | US
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Telephone | 304-264-1000
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | GROVER GLENDON KERNS III
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Credential |
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Telephone | 304-260-1443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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