| NPI | 1982807061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN S. WHITED CFO/COO 304-354-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WV 150) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital Critical Access (Licence: WV 150) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-04-12 |