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NPI Code Detail

MEDICARE: GRANT MEMORIAL HOSPITAL

MEDICARE: GRANT MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0004XCompounding Pharmacy
3332BP3500XParenteral & Enteral Nutrition Supplies (DME)
43336I0012XInstitutional PharmacyIP0550877WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12109651OTHERPK

General Provider Information

NPI Number : 1265623094
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANT MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 117 HOSPITAL DR
Second Line : PO BOX 1019
City : PETERSBURG
State : WV
Zip : 26847-9566
Country : US
Telephone Number : 304-257-1026
Fax Number : 304-257-9622
Provider Business Practice Location Address
First Line : 117 HOSPITAL DR
Second Line :
City : PETERSBURG
State : WV
Zip : 26847-9566
Country : US
Telephone Number : 304-257-1026
Fax Number : 304-257-9622
Authorized Official
Title or Position : PIC
Name : BRENTON HARMAN
Credential : RPH
Telephone Number : 304-257-1026
Provider Enumeration Date : 08/07/2007
Last Update Date : 02/16/2017

Similar Medicare Providers

1598763666 — GRANT MEMORIAL HOSPITAL
Practice Location Address:
117 HOSPITAL DR
PETERSBURG, WV
26847-9566
Practice Phone: 304-257-1026
Practice Fax: 304-257-1932
1366415143 — GRANT MEMORIAL HOSPITAL
Practice Location Address:
117 HOSPITAL DR
PETERSBURG, WV
26847-9566
Practice Phone: 304-257-1026
Practice Fax:
1033184981 — MRS. KELLY D SMITH-RIGGLEMAN PAC
Practice Location Address:
117 HOSPITAL DR
PETERSBURG, WV
26847-9566
Practice Phone: 304-257-1026
Practice Fax:
1245298231 — GLENN K GEETING MD
Practice Location Address:
117 HOSPITAL DR
PETERSBURG, WV
26847-9566
Practice Phone: 304-257-1026
Practice Fax:
1356398952 — THEODORE I WEITZ MD
Practice Location Address:
117 HOSPITAL DR
PETERSBURG, WV
26847-9566
Practice Phone: 304-257-1026
Practice Fax:
1902841539 — DR. KHALED FATHY SAID MD
Practice Location Address:
117 HOSPITAL DR
PETERSBURG, WV
26847-9566
Practice Phone: 304-257-1026
Practice Fax:

Directions to “GRANT MEMORIAL HOSPITAL ” Practice Location

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