GRANT MEMORIAL HOSPITAL (NPI# 1346248283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346248283 |
| Entity Type | Organization |
| Organization Name | GRANT MEMORIAL HOSPITAL |
| Other Organization Name | POTOMAC ORTHOPEDIC ASSOCIATES |
| Practice Address |
10 Valley View St Suite 101 Petersburg WV 26847-9543 |
| Mailing Address |
Po Box 1019 Petersburg WV 26847-1019 |
| Practice Telephone | 3042579785 |
| Practice Fax Number | 3042579790 |
| Mailing Telephone | 3042571026 |
| Mailing Fax Number | 3042571932 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDY M MICHAELS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3042571026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0206987000 | 05 |
| Other Name | Type Code |
|---|---|
| Potomac Orthopedic Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275750234 | Grant Memorial Hospital | Durable Medical Equipment & Medical Supplies | Route 4 & 28, Petersburg, WV 26847-1019 | 2007-04-19 |
| 1396744108 | Grant Memorial Hospital | Clinic/Center | Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1821096637 | Grant Memorial Hospital | Clinic/Center | State Route 55w, Mt Storm, WV 26739 | 2005-07-14 |
| 1356349161 | Grant Memorial Hospital | Clinic/Center | 1 Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1245238237 | Grant Memorial Hospital | Clinic/Center | 8 Lee St, Suite 3, Moorefield, WV 26836-1091 | 2005-07-13 |
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 1427579424 | Grant Memorial Hospital | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847-9549 | 2017-06-29 |
| 1316329121 | Grant Memorial Hospital | Internal Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2015-06-29 |
| 1972983393 | Grant Memorial Hospital | Specialist | 65 Hospital Dr Ste 103, Petersburg, WV 26847-9549 | 2015-06-01 |
| 1407248800 | Grant Memorial Hospital | Orthopaedic Surgery | 10 Mulligan Dr, Petersburg, WV 26847-1000 | 2015-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRANT MEMORIAL HOSPITAL | 117 Hospital Dr, Petersburg, WV 26847-9566 |
| Street Address |
10 VALLEY VIEW ST SUITE 101 |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-9543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225341985 | Hahn Enterprises Pllc | Orthopaedic Surgery | 10 Valley View St, Suite 101, Petersburg, WV 26847-9543 | 2010-07-22 |
| 1962672576 | Regional Eye Associates, Inc. | Ophthalmology | 10 Valley View St, Suite 201, Petersburg, WV 26847-9543 | 2008-03-11 |
| 1467553180 | Cristina L Goldizen | Psychiatry & Neurology | 10 Valley View St, Petersburg, WV 26847-9543 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740435650 | Petersburg Dermatology, PC | Clinic/Center | 3277 S Crater Rd, Petersburg, VA 23805-9285 | 2008-11-19 |
| 1356349161 | Grant Memorial Hospital | Clinic/Center | 1 Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1356471247 | John T. Marshall M.d P.c | Clinic/Center | 700 S Sycamore St, Suite 1, Petersburg, VA 23803-5802 | 2007-03-07 |
| 1922149046 | Grant Memorial Hospital | Clinic/Center | 1 Hospital Drive, Petersburg, WV 26847 | 2007-02-09 |
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| 1376829671 | Kidney Specialists, Pllc | Clinic/Center | 176 Health Care Ln Ste A, Martinsburg, WV 25401-4010 | 2011-10-31 |
| 1326166463 | Kanawha Valley Neurology | Clinic/Center | 3847 Teays Valley Rd, Suite D, Hurricane, WV 25526-9622 | 2007-03-27 |
| 1982604997 | Mountain State Ent & Facial Plastic Surgery, Inc | Clinic/Center | 86 Brookshire Ln, Beckley, WV 25801-6765 | 2005-08-01 |
| 1013557982 | Mountaineer Wellness and Recovery Centers LLC | Clinic/Center | 310 George St, Beckley, WV 25801-2653 | 2020-01-08 |
| 1609333830 | House of Grace LLC | Clinic/Center | 401 Camden Rd, Huntington, WV 25704-2708 | 2019-02-25 |
| 1811405616 | Holistic, Inc | Clinic/Center | 303 6th Ave, Saint Albans, WV 25177-2838 | 2018-01-15 |
| 1891220695 | Valley Family Medicine Pllc | Clinic/Center | 215 S Louisiana Ave Ste A, Martinsburg, WV 25401-2023 | 2017-04-29 |
| 1568994259 | Lifeline Addiction Specialists | Clinic/Center | 550 N Eisenhower Dr, Suite B, Beckley, WV 25801-3109 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
Please comment or provide details below to improve the information on GRANT MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.