| Grant Memorial Hospital | |
|
State Route 55w Mt Storm WV 26739 | |
| (304) 693-7616 | |
| Not Available |
| Full Name | Grant Memorial Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | State Route 55w, Mt Storm, West Virginia |
| Authorized Official Name and Position | Sandy M Michaels (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3042571026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Memorial Hospital Po Box 1019 Petersburg WV 26847-1019 Ph: (304) 257-1026 | Grant Memorial Hospital State Route 55w Mt Storm WV 26739 Ph: (304) 693-7616 |
| NPI Number | 1821096637 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821096637 | NPI | - | NPPES |
| 0001375018 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |