Guyan Valley Hospital LLC

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

54 Issued in WV

Legal business name

GUYAN VALLEY HOSPITAL LLC

Doing business as

Guyan Valley Hospital

Practice address

396 Dingess St
Logan, WV 25601-3624

Phone

(304) 831-1717

Fax

(304) 831-1719

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

David M Dill

Title

President

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Guyan Valley Hospital Doing business as

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397952000000",
    "number": "1972556314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 DINGESS ST",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013624",
            "telephone_number": "304-831-1717",
            "fax_number": "304-831-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUYAN VALLEY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-04-20",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WV",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106315000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000324345",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guyan Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karan D Grimes, FNP
• Reagan Grimmett
• Valarie Jean Grimmett
• Amit Gupta, M.D.
• Guyan Valley Hospital LLC
• Lisa Jan Haddox-Heston, D.D.S.
• Jenna Marie Hager, APRN
• Kayla Hairston
• Kelly Marie Hale-Brown, PT, DPT
• Clara Rose Hale, CFNP

• Critical Access Hospital in Logan, WV
• Providers in Logan, WV by specialty
• Critical Access Hospital in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2014; 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.