Provider Demographics
NPI:1487370540
Name:CAMC GREENBRIER VALLEY MEDICAL CENTER INC
Entity type:Organization
Organization Name:CAMC GREENBRIER VALLEY MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-388-6251
Mailing Address - Street 1:501 MORRIS STREET
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1326
Mailing Address - Country:US
Mailing Address - Phone:304-388-6251
Mailing Address - Fax:304-388-6782
Practice Address - Street 1:1320 MAPLEWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:RONCEVERTE
Practice Address - State:WV
Practice Address - Zip Code:24970-8016
Practice Address - Country:US
Practice Address - Phone:304-647-6006
Practice Address - Fax:304-388-6782
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAMC GREENBRIER VALLEY MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit