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NPI 1598975120

NPI 1598975120 : PLEASANT VALLEY HOSPITAL, INC. : PT PLEASANT, WV

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General NPI Number Information
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    NPI Number           |    1598975120
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLEASANT VALLEY HOSPITAL, INC. 
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Dates
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    Enumeration Date     |    05/23/2007
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    Last Update Date     |    10/14/2025
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Provider Practice Location Address
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    Address Line         |    2520 VALLEY DR 
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    City                 |    PT PLEASANT
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    State                |    WV
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    Zip                  |    25550-2031
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    Country              |    US
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    Telephone            |    304-675-4340
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    Fax                  |    304-675-5893
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Provider Business Mailing Address
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    Address Line         |    2520 VALLEY DR 
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    City                 |    PT PLEASANT
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    State                |    WV
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    Zip                  |    25550-2031
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    Country              |    US
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    Telephone            |    304-675-4340
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    Fax                  |    304-675-5893
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Authorized Official
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    Title or Position    |    CREDENTIALING
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    Name                 |     TASHA  GROVES 
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    Credential           |    
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    Telephone            |    304-675-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    275N00000X
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    Taxonomy Name        |    Medicare Defined Swing Bed Hospital Unit
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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        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    6
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    License Number State |    WV
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