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Contact Information

PRESTON MEMORIAL HOSPITAL CORPORATION
150 MEMORIAL DR
KINGWOOD, WV26537
 Phone: 304-329-1400
 Fax: 304-329-1175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRESTON MEMORIAL HOSPITAL CORPORATION · (Female)

NPI # 1841230661
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2006
Last updated 07/09/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 56
  • WV Medicaid 0104806001
  • WV Medicaid WV17028A
  • WV Medicaid WV97818
  • WV Medicaid WV97818A
  • WV Other 001808002 BCBS ANES GROUP
  • WV Other 001706817 BCBS GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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