| NPI | 1790083475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MCDIFFITT Medical Staff Director 304-263-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: WV 59640) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |