POTOMAC VALLEY HOSPITAL OF W VA, INC (NPI# 1770536112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770536112 |
| Entity Type | Organization |
| Organization Name | POTOMAC VALLEY HOSPITAL OF W VA, INC |
| Other Organization Name | POTOMAC VALLEY HOSPITAL SWING BED |
| Practice Address |
100 Pin Oak Ln Keyser WV 26726-5908 |
| Practice Telephone | 3045973510 |
| Practice Fax Number | 3045973507 |
| Mailing Telephone | 3045973500 |
| Mailing Fax Number | 3045973507 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | MR. LINDA K SHROYER (ADMINISTRATOR) |
| Authorized Official Telephone | 3045973510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 02 | WV | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810000637 | 05 |
| Other Name | Type Code |
|---|---|
| POTOMAC VALLEY HOSPITAL SWING BED | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205989894 | Potomac Valley Hospital of W Va, Inc | Hospice Care, Community Based | 433 S Mineral St, Keyser, WV 26726-2938 | 2007-01-19 |
| 1063649606 | Potomac Valley Hospital of W Va, Inc | Clinic/Center | 122 Ashfield St, Piedmont, WV 26750-1300 | 2009-06-22 |
| 1760499016 | Potomac Valley Hospital of W Va, Inc | Clinic/Center | 48 Oak Street, Elk Garden, WV 26717 | 2006-08-01 |
| Street Address |
100 PIN OAK LN |
| City | KEYSER |
| State | WV |
| Zip Code | 26726-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912979873 | Potomac Valley Hospital of W Va, Inc | General Acute Care Hospital | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2006-02-06 |
| 1912540725 | Kimberly Ann Judy | Dietitian, Registered | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2019-10-24 |
| 1326692641 | United Hospital Center, Inc. | Hospice Care, Community Based | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2019-07-25 |
| 1205480431 | Jodie Holstein | Nurse Practitioner | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2019-07-25 |
| 1831742907 | Valerie L Starcher | Registered Nurse | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2019-07-18 |
| 1902465925 | Breana Leigh Jones | Nurse Practitioner | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2019-06-12 |
| 1245726595 | Leah Knaggs | Nurse Practitioner | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2018-07-10 |
| 1336641224 | Faith Ann Rodeheaver | Nurse Practitioner | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2018-03-06 |
| 1124529714 | Patricia Barbarito | Registered Nurse | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2018-02-28 |
| 1780186353 | Nyssa Smith | Registered Nurse | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2018-02-28 |
| Find all providers in the same location | ||||
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 1649277476 | Community Health Association | Medicare Defined Swing Bed Unit | 122 Pinnell Street, Ripley, WV 25271-0720 | 2005-07-07 |
| 1730788399 | Marietta Memorial Hospital of Tyler County Inc | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 1376175240 | Wetzel County Hospital, Inc. | Medicare Defined Swing Bed Unit | 3 E Benjamin Dr, New Martinsville, WV 26155-2758 | 2020-02-10 |
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 1407223571 | Lindsey M Tabor | Medicare Defined Swing Bed Unit | 324 Miller Mountain Dr, Webster Springs, WV 26288-1065 | 2015-08-25 |
| 1104242569 | Jefferson Memorial Hospital | Medicare Defined Swing Bed Unit | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-10 |
| 1982836326 | Montgomery General Hospital, Inc | Medicare Defined Swing Bed Unit | 401 Sixth Avenue, Montgomery, WV 25136-2116 | 2009-08-19 |
| 1437391414 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 1 Hospital Dr, Petersburg, WV 26847-9549 | 2009-04-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on POTOMAC VALLEY HOSPITAL OF W VA, INC.
| 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.