| NPI | 1104901784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FOWLER Cheif Executive Office 304-526-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: WV 48) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 48) |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-11-20 |