Active NPI
Grant Memorial Hospital
- Skilled Nursing Facility
- Petersburg, WV
National Provider Identifier
1811936032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 21
- Legal business name
- GRANT MEMORIAL HOSPITAL
- Practice address
- 1 Hospital Drive
Petersburg, WV 26847 - Phone
- (304) 257-1026
- Fax
- (304) 257-1932
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert W Milvet Jr.
- Title
- Ceo
- Phone
- (304) 257-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001375001 | Medicaid | WV |
Other names 1
- Grant Memorial Skilled Nursing Facility
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551916800000",
"number": "1811936032",
"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": "2006-06-05",
"last_updated": "2019-03-07",
"status": "A",
"authorized_official_last_name": "MILVET",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-257-5800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WV",
"license": "21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001375001",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grant Memorial Skilled Nursing Facility",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Grant Memorial Skilled Nursing Facility",
"code": "3",
"type": "Doing Business As"
}
]
}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 Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.