GRANT MEMORIAL HOSPITAL (NPI# 1245238237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245238237 |
| Entity Type | Organization |
| Organization Name | GRANT MEMORIAL HOSPITAL |
| Other Organization Name | POTOMAC VALLEY FAMILY MEDICINE-PETERSBURG |
| Practice Address |
8 Lee St Suite 3 Moorefield WV 26836-1091 |
| Mailing Address |
Po Box 1019 Petersburg WV 26847-1019 |
| Practice Telephone | 3045387707 |
| Practice Fax Number | 3045387706 |
| 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 | 3052571026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001375015 | 05 |
| Other Name | Type Code |
|---|---|
| Potomac Valley Family Medicine-Petersburg | 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 |
| 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 |
| 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 |
8 LEE ST SUITE 3 |
| City | MOOREFIELD |
| State | WV |
| Zip Code | 26836-1091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134559354 | Susan Jill Rogers | Nurse Practitioner | 8 Lee St, Moorefield, WV 26836-1091 | 2013-11-25 |
| 1548578792 | Ugoeze Celina Otome | Pediatrics | 8 Lee St, Moorefield, WV 26836-1091 | 2010-09-22 |
| 1700014180 | E. A. Hawse Health Center, Inc. | Physician Assistant | 8 Lee St, Moorefield, WV 26836-1091 | 2009-06-24 |
| 1770731960 | Grant Memorial Hospital | Clinical Medical Laboratory | 8 Lee St, Suite 3, Moorefield, WV 26836-1091 | 2008-09-03 |
| 1740469386 | Bosley Eye Care, Inc. | Clinic/Center | 8 Lee St, Suite 134, Moorefield, WV 26836-1091 | 2007-10-31 |
| 1932271459 | Bosley Eye Care, Inc. | Optometrist | 8 Lee St, Suite 134, Moorefield, WV 26836-1091 | 2006-11-14 |
| 1154354702 | Emily Mcneely Bosley | Optometrist | 8 Lee St, Suite 134, Moorefield, WV 26836-1091 | 2006-07-08 |
| 1770516320 | William Gerald Bosley IIi | Optometrist | 8 Lee St, Suite 134, Moorefield, WV 26836-1091 | 2006-07-08 |
| 1407893050 | Renal Center of Moorefield LLC | Clinic/Center | 8 Lee St, Fl 2, Moorefield, WV 26836-1091 | 2006-06-01 |
| 1689632887 | Amy Jo Kump | Physician Assistant | 8 Lee St, Moorefield, WV 26836-1091 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336238 | Natalia Galarza | Technician | 160 Caledonia Heights Rd, Moorefield, WV 26836 | 2020-11-05 |
| 1336747732 | Hailee Howell | Technician | 101 First St Misty Terrace, Moorefield, WV 26836 | 2020-10-16 |
| 1912511809 | Angela Sinclair | Technician | 241 Orchard Ln, Moorefield, WV 26836 | 2020-09-08 |
| 1235740408 | Hannah Renee Racey | Technician | 8095 Us Rt 220 South, Moorefield, WV 26836 | 2020-08-12 |
| 1659851830 | E. A. Hawse Health Center, Inc. | Clinic/Center | Us Highway 220, Moorefield, WV 26836 | 2018-08-17 |
| 1427470277 | Burlington United Methodist Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5162 Us 220 North, Moorefield, WV 26836 | 2014-01-14 |
| 1902032337 | Shawna R. Crites | Registered Nurse | 411 Spring Ave., Suite 101, Moorefield, WV 26836 | 2009-05-29 |
| 1396990909 | Leigh Ann Walters | Physician Assistant | 8 Lee Street, Potomac Valley Family Medicine, Moorefield, WV 26836 | 2008-11-24 |
| 1851560676 | Hardy County Board of Education | Local Education Agency (LEA) | 510 Ashby Street, Hardy County Board of Education, Moorefield, WV 26836 | 2008-02-26 |
| 1609921261 | Primary Psychological Care Pllc | Psychologist | 216 Maple Avenue, Moorefield, WV 26836 | 2007-01-24 |
| Find all providers in zip 26836 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1346610094 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 | 2015-10-06 |
| 1417229329 | Professional Medical Ultrasonics Inc. | Clinic/Center | 4089 Webster Rd Suite 5, Summersville, WV 26651 | 2012-02-08 |
| 1255403002 | Appalachian Highway Medical & Surgical Clinic, Pllc | Clinic/Center | Appalachian Hwy, Rt. 10 East Pineville, Pineville, WV 24874-1274 | 2006-11-15 |
| 1932293941 | Rainelle Medical Center Inc | Clinic/Center | 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 | 2006-10-03 |
| 1396744108 | Grant Memorial Hospital | Clinic/Center | Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1932103488 | University Physicians & Surgeons, Inc. | Clinic/Center | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 | 2005-06-10 |
| 1003810557 | University Physicians & Surgeons, Inc. | Clinic/Center | 1616 13th Ave, Suite 2b, Huntington, WV 25701-3840 | 2005-06-10 |
| Find all providers with the same taxonomy | ||||
| City | MOOREFIELD |
| Zip Code | 26836 |
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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.