Organization · Type 2 NPI

Potomac Valley Hospital of W Va , Inc

Rural Health Clinic/Center · Keyser, WV

NPI number 1467090449 Active

Practice location

100 Pin Oak Ln Ste 3
Keyser, WV 26726-5908

Call (304) 597-3790 Map

Fax (304) 597-3564

Mailing address

1370 Johnson Ave Ste 102
Bridgeport, WV 26330-1492

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1467090449
Entity type: Organization (Type 2)
Issued: Dec 20, 2019
Last updated: Dec 20, 2019
Status: Active
Subpart: Yes of Potomac Valley Hospital of W Va , Inc

Other names

Mineral County Rural Health Clinic of Potomac Valley Hospital · other name

Authorized official

Sue A Wells
Senior Director of Clinic Operation
(304) 597-3525

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467090449

Potomac Valley Hospital of W Va , Inc's National Provider Identifier is 1467090449, issued on Dec 20, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Keyser, WV. The record was last updated on Dec 20, 2019.