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Contact Information

PRESTON MEMORIAL MEDICAL GROUP
500 MARKET STREET
GRAFTON CITY HOSPTIAL
GRAFTON, WV26354
 Phone: 304-265-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PRESTON MEMORIAL MEDICAL GROUP

NPI # 1114009941
LBN Legal business name PRESTON MEMORIAL MEDICAL GROUP
Authorized official MELISSA LOCKWOOD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 07/29/2009 - About 17 years ago
Identifiers
WV Medicaid 0007709000
WV Other 001710365 HOLEHOUSE, JAMES BCBS
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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