GRANT MEMORIAL HOSPITAL (NPI# 1811936032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811936032 |
| Entity Type | Organization |
| Organization Name | GRANT MEMORIAL HOSPITAL |
| Other Organization Name | GRANT MEMORIAL SKILLED NURSING FACILITY |
| Practice Address |
1 Hospital Drive Petersburg WV 26847 |
| 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 | 2006-06-05 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | MR. ROBERT W MILVET JR. (CEO) |
| Authorized Official Telephone | 3042575800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 21 | WV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001375001 | 05 |
| Other Name | Type Code |
|---|---|
| Grant Memorial Skilled Nursing Facility | 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 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRANT MEMORIAL HOSPITAL | 117 Hospital Dr, Petersburg, WV 26847-9566 |
| Street Address |
1 HOSPITAL DRIVE |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349161 | Grant Memorial Hospital | Clinic/Center | 1 Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1437312576 | Grant Memorial Hospital | Public Health or Welfare | 1 Hospital Drive, Petersburg, WV 26847 | 2008-07-09 |
| 1104084151 | Grant Memorial Homecare and Hospice LLC | Home Health | 1 Hospital Drive, Petersburg, WV 26847 | 2008-05-27 |
| 1124151071 | Grant Memorial Hospital | Ambulance | 1 Hospital Drive, Petersburg, WV 26847 | 2007-03-13 |
| 1811020514 | Grant Memorial Hospital | Emergency Medicine | 1 Hospital Drive, Petersburg, WV 26847 | 2007-03-13 |
| 1922149046 | Grant Memorial Hospital | Clinic/Center | 1 Hospital Drive, Petersburg, WV 26847 | 2007-02-09 |
| 1588619746 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 1 Hospital Drive, Petersburg, WV 26847 | 2006-05-24 |
| 1730152513 | Grant Memorial Hospital | Hospice Care, Community Based | 1 Hospital Drive, Petersburg, WV 26847 | 2006-02-10 |
| 1366415143 | Grant Memorial Hospital | Home Health | 1 Hospital Drive, Petersburg, WV 26847 | 2006-02-10 |
| 1215936646 | Thomas Clifford Valley | Internal Medicine | 1 Hospital Drive, Petersburg, WV 26847 | 2005-07-18 |
| Find all providers in the same location | ||||
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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|---|---|---|---|---|
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| 1487731477 | Good Samaritan Hospital | Skilled Nursing Facility | 801 E Illinois St, Petersburg, IN 47567-8026 | 2006-11-01 |
| 1497856785 | Sunny Acres | Skilled Nursing Facility | 19130 Sunny Acres Rd, Petersburg, IL 62675-7306 | 2006-09-26 |
| 1619924834 | Beverly Enterprises - Virginia, Inc. | Skilled Nursing Facility | 250 Flank Rd, Petersburg, VA 23805-9117 | 2006-05-31 |
| 1356398572 | Beverly Enterprises - Virginia Inc | Skilled Nursing Facility | 287 E South Blvd, Petersburg, VA 23805-2700 | 2006-05-31 |
| 1720035611 | Menard Convalescent Center, Inc | Skilled Nursing Facility | 120 W Antle St, Petersburg, IL 62675-1035 | 2006-05-27 |
| 1770539546 | Hendricks County Hospital | Skilled Nursing Facility | 309 W Pike Ave, Petersburg, IN 47567-8755 | 2006-05-25 |
| 1740270982 | Grant Rehab & Care Center | Skilled Nursing Facility | 127 Early Avenue, Petersburg, WV 26847-9403 | 2005-10-27 |
| 1245771765 | South Leasing (va) Co., LLC | Skilled Nursing Facility | 287 E South Blvd, Petersburg, VA 23805-2700 | 2017-03-16 |
| 1972044485 | Flank Leasing Co., LLC | Skilled Nursing Facility | 250 Flank Rd, Petersburg, VA 23805-9117 | 2017-03-16 |
| 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.