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General NPI Number Information
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NPI Number | 1619053329
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Entity Type | Organization
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Legal Business Name | PRINCETON COMMUNITY HOSPITAL ASSN. INC.
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1333 SOUTHVIEW DR
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City | BLUEFIELD
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State | WV
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Zip | 24701-4317
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Country | US
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Telephone | 304-325-4673
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Fax | 304-325-4660
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Provider Business Mailing Address
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Address Line | PO BOX 1369
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City | PRINCETON
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State | WV
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Zip | 24740-1369
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Country | US
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Telephone | 304-487-7000
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Fax | 304-487-7370
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Authorized Official
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Title or Position | VP OF FINANCE/CFO
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Name | DIANE LYNN SPENCER
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Credential |
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Telephone | 304-487-7505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 104
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License Number State | WV
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