Organization Active NPI

Potomac Valley Hospital of W VA , Inc

  • Family Medicine Physician
  • Keyser, WV
National Provider Identifier
1316757396
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
POTOMAC VALLEY HOSPITAL OF W VA , INC
Practice address
131 Plaza Dr
Keyser, WV 26726-6015
Phone
(304) 597-3706
NPI assigned
Jan 10, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sue A Wells
Title
Sr Director of Provider Services
Phone
(304) 597-3525

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

National Provider Directory

National Provider Directory
Tax ID family
Potomac Valley Hospital of WV Inc (28 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

131 Plaza Dr
Keyser, WV 26726-6015

Mailing address

131 Plaza Dr
Keyser, WV 26726-6015

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2025.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1316757396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PLAZA DR",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267266015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PLAZA DR",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267266015",
            "telephone_number": "304-597-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC VALLEY HOSPITAL OF W VA , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR DIRECTOR OF PROVIDER SERVICES",
        "authorized_official_telephone_number": "304-597-3525"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.