CCN: 511519 NPI: 1053579102 Organization

GRANT MEMORIAL HOSPICE

100 HOSPITAL DRIVE , SUITE 2
PETERSBURG, WV 268479409

Contact Information

Phone 3042572005
Fax 3042572093
Enumeration Date 2008-05-27
Last Updated 2024-09-06

Taxonomies

Code: 315D00000X
Code: 251G00000X (Primary) License State: WV License: 16

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 99951

providerType 35

censusDivision 6

cbsaActualGeographicLocation 99951

providerType 35

censusDivision 6

cbsaActualGeographicLocation 99951

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99951

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99951

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99951

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99951

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99951

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 99951

providerType 35

specialPaymentIndicator

carrierCode 11402

localityCode 16