| NPI | 1689859233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FOWLER Cheif Executive Officer 304-526-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: WV 48) |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2015-11-20 |