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NPI Code Detail

MEDICARE: CITY HOSPITAL, INC

MEDICARE: CITY HOSPITAL, INC
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
1282N00000XGeneral Acute Care Hospital80WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000301259OTHERWVACUTE HOSPITAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457389249
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY HOSPITAL, INC
Provider Business Mailing Address
First Line : PO BOX 990
Second Line :
City : MORGANTOWN
State : WV
Zip : 26507-0990
Country : US
Telephone Number : 304-598-6795
Fax Number : 304-598-6381
Provider Business Practice Location Address
First Line : 2500 HOSPITAL DR
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-3402
Country : US
Telephone Number : 304-264-1249
Fax Number : 304-264-1340
Authorized Official
Title or Position : VP OF FINANCE
Name : KATHLEEN R QUINONES
Credential :
Telephone Number : 304-260-1443
Provider Enumeration Date : 06/29/2006
Last Update Date : 10/03/2023

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Directions to “CITY HOSPITAL, INC ” Practice Location

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