| NPI | 1659456234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM MARTIN VP & COO 304-526-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: WV 48) |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LF0000X Nurse Practitioner, Family | |
| 103T00000X Psychologist | |
| 363L00000X Nurse Practitioner | |
| 207P00000X Emergency Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-10-06 |