| NPI | 1750326880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT T GREENE Director Of Operations 304-455-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: WV 95) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: IP0550703) |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: WV IP0550703) | |
| 291U00000X Clinical Medical Laboratory (Licence: 51D0236097) | |
| 291U00000X Clinical Medical Laboratory (Licence: WV 51D0236097) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-04-08 |