| NPI | 1790236677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FOWLER CEO 304-526-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 282N00000X General Acute Care Hospital | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |