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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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366415143
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANT MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 1019
Second Line :
City : PETERSBURG
State : WV
Zip : 26847-1019
Country : US
Telephone Number : 304-257-1026
Fax Number : 304-257-1932
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 :
Authorized Official
Title or Position : CONTROLLER
Name : HOPE S VANMETER
Credential :
Telephone Number : 304-283-3324
Provider Enumeration Date : 02/10/2006
Last Update Date : 12/29/2022

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1356398952 — THEODORE I WEITZ MD
Practice Location Address:
117 HOSPITAL DR
PETERSBURG, WV
26847-9566
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Practice Fax:
1902841539 — DR. KHALED FATHY SAID MD
Practice Location Address:
117 HOSPITAL DR
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1265623094 — GRANT MEMORIAL HOSPITAL
Practice Location Address:
117 HOSPITAL DR
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26847-9566
Practice Phone: 304-257-1026
Practice Fax: 304-257-9622

Directions to “GRANT MEMORIAL HOSPITAL ” Practice Location

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