Provider Demographics
NPI:1487745436
Name:CITY HOSPITAL, INC.
Entity type:Organization
Organization Name:CITY HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:RAYE
Authorized Official - Last Name:MINGHINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-260-1435
Mailing Address - Street 1:PO BOX 1418
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25402-1418
Mailing Address - Country:US
Mailing Address - Phone:304-264-1287
Mailing Address - Fax:304-260-1459
Practice Address - Street 1:2500 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401
Practice Address - Country:US
Practice Address - Phone:304-264-1287
Practice Address - Fax:304-260-1459
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEST VIRGINIA UNIVERSITY HOSPITALS EAST INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-27
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV80314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV515136Medicare Oscar/Certification