NPIMap

Organization Active NPI

Grant Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Petersburg, WV
National Provider Identifier
1588619746
Registry record updated Dec 18, 2009
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Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
21 Issued in WV
Legal business name
GRANT MEMORIAL HOSPITAL
Practice address
1 Hospital Drive
Petersburg, WV 26847
Phone
(304) 257-1026
Fax
(304) 257-1932
NPI assigned
May 24, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Virginia Kilmer
Title
Chief Financial Officer
Phone
(304) 257-5802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 21 WV Primary

Addresses

Primary practice location

1 Hospital Drive
Petersburg, WV 26847

Mailing address

PO Box 1019
Petersburg, WV 26847-1019
Phone (304) 257-1026

Other names 1

  • Grant Memorial Hospital Swing Bed Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1588619746",
    "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": "1 HOSPITAL DRIVE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "26847",
            "telephone_number": "304-257-1026",
            "fax_number": "304-257-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "KILMER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-257-5802"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WV",
            "license": "21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Memorial Hospital Swing Bed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Petersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.