POTOMAC VALLEY HOSPITAL OF W VA , INC (NPI# 1467090449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467090449 |
| Entity Type | Organization |
| Organization Name | POTOMAC VALLEY HOSPITAL OF W VA , INC |
| Practice Address |
100 Pin Oak Ln Ste 3 Keyser WV 26726-5908 |
| Mailing Address |
1370 Johnson Ave Ste 102 Bridgeport WV 26330-1492 |
| Practice Telephone | 3045973790 |
| Practice Fax Number | 3045973564 |
| Mailing Telephone | 6813423453 |
| Mailing Fax Number | 3048422333 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | SUE A WELLS (SENIOR DIRECTOR OF CLINIC OPERATION) |
| Authorized Official Telephone | 3045973525 |
| Is Organization Subpart | Y |
| Parent Organization Name | POTOMAC VALLEY HOSPITAL OF W VA , INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mineral County Rural Health Clinic of Potomac Valley Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444987 | Potomac Valley Hospital of W Va, Inc | Clinic/Center | 10261 Frankfort Hwy, Fort Ashby, WV 26719-4533 | 2019-12-20 |
| 1912979873 | Potomac Valley Hospital of W Va, Inc | General Acute Care Hospital | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2006-02-06 |
| Street Address |
100 PIN OAK LN STE 3 |
| City | KEYSER |
| State | WV |
| Zip Code | 26726-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437565868 | Ayesha Abid | Family Medicine | 100 Pin Oak Ln Ste 3, Keyser, WV 26726-5908 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199937 | Susan Raye Thorne | Technician | 193 Primrose Dr, Keyser, WV 26726 | 2020-09-22 |
| 1982215141 | Rachael Yvonne Lewis | Technician | 30 Csx Ln, Keyser, WV 26726 | 2020-08-12 |
| 1942847975 | Recovery Care LLC | Family Medicine | 37 Carroll Avenue, Keyser, WV 26726 | 2019-12-10 |
| 1346713633 | Ruby Ann Olitan | Pharmacist | Rr 3 3186, Keyser, WV 26726 | 2019-01-09 |
| 1164915526 | Keyser Family Dentistry, Pllc | Dentist | 1035 Florida Ave., Keyser, WV 26726 | 2018-06-11 |
| 1093223075 | Leslie Bosley | Speech-Language Pathologist | Mineral County Board of Education, One Baker, Keyser, WV 26726 | 2018-01-12 |
| 1043737927 | Melissa Sue Hines | Social Worker | 539 New Creek Highway, Keyser, WV 26726 | 2017-08-23 |
| 1962928242 | Walgreen Co | Pharmacy | 839 S Mineral St, Keyser, WV 26726 | 2017-08-17 |
| 1386980704 | Heritage Hearing Aid Centers, LLC | Hearing Aid Equipment | Route 3 Box 3288, Keyser, WV 26726 | 2012-12-13 |
| 1659685246 | Suratkal V Shenoy Md PC | Surgery | Rt 220 South and Staggs Lane, Keyser, WV 26726 | 2010-08-06 |
| Find all providers in zip 26726 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579689 | Charleston Area Medical Center, Inc. | Clinic/Center | 702 Professional Park Dr Ste 102, Summersville, WV 26651-2033 | 2020-08-20 |
| 1902444987 | Potomac Valley Hospital of W Va, Inc | Clinic/Center | 10261 Frankfort Hwy, Fort Ashby, WV 26719-4533 | 2019-12-20 |
| 1083274385 | Pleasant Valley Hospital Inc | Clinic/Center | 2007 2nd St, Mason, WV 25260-1269 | 2019-06-18 |
| 1619434529 | Bluefield Hospital Company LLC | Clinic/Center | 154 Majestic Pl, Bluefield, WV 24701-9170 | 2019-02-27 |
| 1609272343 | Wetzel County Hospital Association | Clinic/Center | 3 E Benjamin Dr Ste B, New Martinsville, WV 26155-2705 | 2014-11-07 |
| 1669882916 | Three Rivers Medical Clinics Inc | Clinic/Center | 47460 Route 52, Kermit, WV 25674-8052 | 2014-05-07 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1710203419 | City of Sistersville | Clinic/Center | 305 Clay St, Sistersville, WV 26175 | 2010-04-20 |
| 1801039565 | Boone Memorial Hospital, Inc | Clinic/Center | 660a S Main St, Madison, WV 25130-1245 | 2009-04-10 |
| 1679766018 | Grafton City Hospital Inc | Clinic/Center | 133 E Veterans Memorial Hwy, Flemington, WV 26347 | 2007-08-20 |
| Find all providers with the same taxonomy | ||||
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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.