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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

NPI # 1841230661
LBN Legal business name PRESTON MEMORIAL HOSPITAL CORPORATION
Authorized official MELISSA LOCKWOOD - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2006
Last updated 07/09/2015 - About 11 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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