Grant Memorial Hospital

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

GRANT MEMORIAL HOSPITAL

Practice address

10 Valley View St
Suite 101
Petersburg, WV 26847-9543

Phone

(304) 257-9785

Fax

(304) 257-9790

NPI assigned

Jul 13, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandy M Michaels

Title

Chief Financial Officer

Phone

(304) 257-1026

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Potomac Orthopedic Associates Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346248283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471019",
            "telephone_number": "304-257-1026",
            "fax_number": "304-257-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VALLEY VIEW ST",
            "address_2": "SUITE 101",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479543",
            "telephone_number": "304-257-9785",
            "fax_number": "304-257-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-257-1026"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206987000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Orthopedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant Memorial Homecare and Hospice, LLC
• Grant Memorial Hospital
• Grant Memorial Hospital
• Grant Memorial Hospital
• Grant Memorial Hospital
• Grant Memorial Hospital
• Grant Memorial Hospital
• Grant Memorial Hospital
• Grant Memorial Hospital
• Grant Memorial Hospital

• All providers in Petersburg, WV
• Medical Specialty Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.