GRANT MEMORIAL HOSPITAL (NPI# 1972983393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972983393 |
| Entity Type | Organization |
| Organization Name | GRANT MEMORIAL HOSPITAL |
| Other Organization Name | GRANT MEMORIAL HOSPITAL SPECIALTY CLINIC |
| Practice Address |
65 Hospital Dr Ste 103 Petersburg WV 26847-9549 |
| Mailing Address |
Po Box 1019 Petersburg WV 26847-1019 |
| Practice Telephone | 3042574331 |
| Practice Fax Number | 3042571115 |
| Mailing Telephone | 3042571026 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-07-11 |
| 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 | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Grant Memorial Hospital Pediatric Clinic | Doing Business As Name - Organization |
| Grant Memorial Hospital Specialty Clinic | 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 |
| 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 |
65 HOSPITAL DR STE 103 |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336102227 | Peter Gerard Deveaux | Surgery | 65 Hospital Dr Ste 103, Petersburg, WV 26847-9549 | 2006-04-11 |
| 1619067139 | Anil K Makani | Surgery | 65 Hospital Dr Ste 103, Petersburg, WV 26847-9549 | 2006-10-13 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083754790 | Professional Health Care, Inc. | Specialist | 849 S Sycamore St, Suite E, Petersburg, VA 23803-5801 | 2007-02-08 |
| 1457311656 | Myung-sup Kim Md Pa | Specialist | Rt 55 West, Petersburg, WV 26847 | 2006-03-23 |
| 1023086915 | Frank F Shieh | Specialist | 603 S Sycamore St, Petersburg, VA 23803 | 2006-03-08 |
| 1316150006 | Southside Ob-gyn, Inc. | Specialist | 600 S Sycamore St, Petersburg, VA 23803-5815 | 2007-05-08 |
| 1497872980 | Team Rehab, Inc | Specialist | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2007-03-22 |
| 1447365945 | Central Virginia Oncology, Inc. | Specialist | 700 S Sycamore St, Ste 10, Petersburg, VA 23803 | 2006-08-21 |
| 1447205554 | Russell Johnson | Specialist | 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805-9313 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171013 | Nicole Maynor | Specialist | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-07-21 |
| 1992262257 | Marnie Rustemeyer | Specialist | 1306 Kanawha Blvd E Ste 1001306, Charleston, WV 25301-3000 | 2019-02-22 |
| 1528599800 | Angela Dawn Harold | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-03-27 |
| 1770023244 | Katelynn Decker | Specialist | 428 W Martin St, Martinsburg, WV 25401-2747 | 2017-03-03 |
| 1699227751 | Sara Elizabeth Hill | Specialist | Sr 3 and 12, Talcott, WV 24981 | 2016-10-25 |
| 1558818294 | Keri Browning | Specialist | 294 Shawnee Cir, Monaville, WV 25601-9631 | 2016-09-09 |
| 1356715429 | Body Kneads LLC | Specialist | 19 Main Ave, Logan, WV 25601-3332 | 2015-11-30 |
| 1982071866 | Archer Massage and Wellness | Specialist | 6 Harman Ctr, Grafton, WV 26354-1559 | 2015-08-27 |
| 1003299652 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 300, Weirton, WV 26062-5058 | 2015-07-01 |
| 1710360367 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 309, Weirton, WV 26062-5055 | 2015-07-01 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
Please comment or provide details below to improve the information on GRANT MEMORIAL HOSPITAL.
| 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.