National Provider Identifier Database

POTOMAC VALLEY HOSPITAL OF W VA INC
Hospice Care, Community Based


Contact Information

POTOMAC VALLEY HOSPITAL OF W VA, INC
433 S MINERAL ST
KEYSER, WV26726-2938
Phone: 304-597-1125
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for POTOMAC VALLEY HOSPITAL OF W VA, INC

NPI Number 1205989894
Legal business name
LBN
POTOMAC VALLEY HOSPITAL OF W VA, INC
Authorized official LINDA SHROYER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/19/2007
Last updated 12/22/2014 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • WV Medicaid: 0001170102

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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