GRANT MEMORIAL HOSPITAL


Address: 117 Hospital Dr, Petersburg, WV 26847-9566
Phone: 3042571026

GRANT MEMORIAL HOSPITAL (NPI# 1598763666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598763666
Entity Type Organization
Organization Name GRANT MEMORIAL HOSPITAL
Practice Address 117 Hospital Dr
Petersburg
WV 26847-9566
Mailing Address Po Box 1019
Petersburg
WV 26847-1019
Practice Telephone 3042571026
Practice Fax Number 3042571932
Mailing Telephone 3042571026
Mailing Fax Number 3042571932
Enumeration Date 2005-07-12
Last Update Date 2019-02-14
Authorized Official Name MR. ROBERT W MILVET JR. (CEO)
Authorized Official Telephone 3042571026
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 275N00000X Medicare Defined Swing Bed Unit 21 WV Hospital Units
N 282N00000X General Acute Care Hospital 21 WV Hospitals
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
21 WV Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
WV 0001375000 05
WV 3810016182 05

Other Provider IDs and Locations

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
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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities GRANT MEMORIAL HOSPITAL 117 Hospital Dr, Petersburg, WV 26847-9566

Office Location

Street Address 117 HOSPITAL DR
City PETERSBURG
State WV
Zip Code 26847-9566

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730565128 Tri-county Emergency Physicians LLC Emergency Medicine 117 Hospital Dr, Petersburg, WV 26847-9566 2015-08-07
1316329121 Grant Memorial Hospital Internal Medicine 117 Hospital Dr, Petersburg, WV 26847-9566 2015-06-29
1699181859 Grant Memorial Hospital Health Educator 117 Hospital Dr, Petersburg, WV 26847-9566 2014-07-09
1528480712 National Emergency Services West Virginia Inc Emergency Medicine 117 Hospital Dr, Petersburg, WV 26847-9566 2014-01-08
1659711455 Matthew Shannon Johnson Emergency Medicine 117 Hospital Dr, Petersburg, WV 26847-9566 2013-06-26
1598055642 Sharita Nicolle Johnson Emergency Medicine 117 Hospital Dr, Petersburg, WV 26847-9566 2011-04-11
1073786158 John R Fischer Emergency Medicine 117 Hospital Dr, Petersburg, WV 26847-9566 2008-04-09
1265623094 Grant Memorial Hospital Pharmacy 117 Hospital Dr, Petersburg, WV 26847-9566 2007-08-07
1598962193 Peter Gregory Baltusnik Emergency Medicine 117 Hospital Dr, Petersburg, WV 26847 2007-06-28
1902841539 Khaled Fathy Said Emergency Medicine 117 Hospital Dr, Petersburg, WV 26847-9566 2006-06-18
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790845204 The Petersburg Medical Center General Acute Care Hospital 103 Fram Street, Petersburg, AK 99833-0589 2006-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922295062 Broaddus Hospital Group General Acute Care Hospital #1 Health Care Drive, Philippi, WV 26416 2007-10-03
1518164037 Charleston Area Medical Center General Acute Care Hospital 3110 Maccorkle Avenue Se, Charleston, WV 25304 2007-06-28
1427189661 Charleston Area Medical Center General Acute Care Hospital 1694 Mount Alpha Rd, Charleston, WV 25304-2731 2007-03-08
1396827424 Providence Health Care General Acute Care Hospital E 1015 'd' Street, Deer Park, WV 99006-0742 2006-10-19
1891722377 Jefferson Memorial Hospital General Acute Care Hospital 300 S. Preston Street, Ranson, WV 25438-1631 2006-06-28
1356304547 Braxton County Memorial Hospital General Acute Care Hospital 100 Hoylman Dr, Gassaway, WV 26624-9321 2006-04-10
1457326241 Hampshire Memorial Hospital, Inc General Acute Care Hospital 549 Center Ave, Romney, WV 26757-1352 2006-02-23
1912979873 Potomac Valley Hospital of W Va, Inc General Acute Care Hospital 100 Pin Oak Ln, Keyser, WV 26726-5908 2006-02-06
1548246622 Broaddus Hospital Association, Inc. General Acute Care Hospital #1 Healthcare Drive, Mansfield Hill, Philippi, WV 26416 2005-12-20
1689664179 Appalachian Regional Healthcare, Inc. General Acute Care Hospital 115 Summers Hospital Road, Hinton, WV 25951 2005-10-26
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Competitor

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City PETERSBURG
Zip Code 26847

Improve Information

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Dataset Information

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.

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