GRANT MEMORIAL HOSPITAL (NPI# 1427579424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427579424 |
| Entity Type | Organization |
| Organization Name | GRANT MEMORIAL HOSPITAL |
| Other Organization Name | GRANT MEMORIAL HOPSITAL WOMEN & MATERNAL CARE CLINIC |
| Practice Address |
65 Hospital Dr Ste 104 Petersburg WV 26847-9549 |
| Mailing Address |
Po Box 1019 Petersburg WV 26847-1019 |
| Practice Telephone | 3042572882 |
| Practice Fax Number | 3042579013 |
| Mailing Telephone | 3042571026 |
| Mailing Fax Number | 3042575168 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | ROBERT W MILVET JR. (CEO) |
| Authorized Official Telephone | 3042575800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grant Memorial Hopsital Women & Maternal Care Clinic | Other Name - Individual/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 |
| 1346248283 | Grant Memorial Hospital | Clinic/Center | 10 Valley View St, Suite 101, Petersburg, WV 26847-9543 | 2005-07-13 |
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 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 |
65 HOSPITAL DR STE 104 |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 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 |
| 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 |
| 1245421312 | Grant Memorial Hospital Home Infusion Therapy Services | Pharmacy | Rt 4 and 28, Petersburg, WV 26847 | 2007-08-05 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699202150 | John L Hahn Md Inc | Obstetrics & Gynecology | 10 Valley St Ste 101, Petersburg, WV 26847-9568 | 2017-05-16 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1417095456 | Miguel Vega-gilormini | Obstetrics & Gynecology | 210 Medical Park Blvd Ste 150, Petersburg, VA 23805 | 2007-02-02 |
| 1245291186 | Pannala Vijay Reddy | Obstetrics & Gynecology | 510 S Sycamore St, Ste D, Petersburg, VA 23803 | 2006-03-30 |
| 1609843994 | Martin Jourden | Obstetrics & Gynecology | 50 Medical Park Blvd., Suite A, Petersburg, VA 23805-9274 | 2006-03-05 |
| 1104810142 | Krishna Rao Kudaravalli | Obstetrics & Gynecology | 210 Medical Park Boulevard, Suite 150, Petersburg, VA 23805-9274 | 2005-09-06 |
| 1831190446 | John L Hahn | Obstetrics & Gynecology | 65 Hospital Dr, Suite 104, Petersburg, WV 26847-9549 | 2005-08-04 |
| 1033389440 | Southside Specialists for Women, P.C. | Obstetrics & Gynecology | 510 S Sycamore St, Suite D, Petersburg, VA 23803-5044 | 2008-03-03 |
| 1811193055 | Southside Physicians for Women, LLC | Obstetrics & Gynecology | 510 S Sycamore St, Suite A & B, Petersburg, VA 23803-5044 | 2007-06-25 |
| 1508074931 | Shannon Charisse Gilham | Obstetrics & Gynecology | 210 Medical Park Boulevard, Suite 150, Petersburg, VA 23805-9214 | 2007-05-18 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
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| 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.