Provider Demographics
NPI:1306349485
Name:CITY HOSPITAL, INC.
Entity type:Organization
Organization Name:CITY HOSPITAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELENKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-264-1000
Mailing Address - Street 1:2010 DOCTOR OATES DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-8896
Mailing Address - Country:US
Mailing Address - Phone:304-596-5142
Mailing Address - Fax:304-596-5143
Practice Address - Street 1:2010 DOCTOR OATES DR STE 103
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-8896
Practice Address - Country:US
Practice Address - Phone:304-596-5142
Practice Address - Fax:304-596-5143
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty