GRANT MEMORIAL PEDIATRICS – NPI #1922149046
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

GRANT MEMORIAL PEDIATRICS is an AHC clinic located in PETERSBURG, WV. NPPES has assigned the NPI number 1922149046 to GRANT MEMORIAL PEDIATRICS on February 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRANT MEMORIAL PEDIATRICS” is a dba name, the actual legal business name for this organization is GRANT MEMORIAL HOSPITAL. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRANT MEMORIAL PEDIATRICS below.

NPI Profile for
GRANT MEMORIAL HOSPITAL

NPI Number
1922149046
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRANT MEMORIAL HOSPITAL
Doing Business As (dba): GRANT MEMORIAL PEDIATRICS
Primary location
1 HOSPITAL DRIVE
PETERSBURG, WV 26847
Phone: (304) 257-1026 Fax: (304) 257-1932
Mailing address
PO BOX 1019
PETERSBURG, WV 26847-1019
Phone: (304) 257-1026 Fax: (304) 257-1932
Organization Subpart
No
Authorized Official
SANDY MICHAELS
CHIEF FINANCIAL OFFICER
Phone: (304) 257-1026
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.