Organization · Type 2 NPI

Grant Memorial Hospital

Family Medicine Physician · Petersburg, WV

NPI number 1669885158 Active

Practice location

65 Hospital Dr, Suite 106
Petersburg, WV 26847-9549

Call (304) 257-4511 Map

Fax (304) 257-4511

Mailing address

PO Box 1019
Petersburg, WV 26847-1019

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	21 (WV)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Petersburg

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NPI record

NPI: 1669885158
Entity type: Organization (Type 2)
Issued: Jun 3, 2014
Last updated: Mar 7, 2019
Status: Active

Other names

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Grant Memorial Hospital Family Medicine Clinic · doing business as
Grant Memorial Hospital Family Medicine Clinic · doing business as

Authorized official

Mr. Robert W Milvet
CEO
(305) 257-5800

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 1669885158

Grant Memorial Hospital's National Provider Identifier is 1669885158, issued on Jun 3, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Petersburg, WV. The record was last updated on Mar 7, 2019.