Provider Demographics
NPI:1528061645
Name:PLEASANT VALLEY HOSPITAL, INC
Entity type:Organization
Organization Name:PLEASANT VALLEY HOSPITAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MISTIE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, MHA
Authorized Official - Phone:304-675-7400
Mailing Address - Street 1:1011 VIAND STREET
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550
Mailing Address - Country:US
Mailing Address - Phone:304-675-7400
Mailing Address - Fax:304-675-7401
Practice Address - Street 1:1011 VIAND STREET
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550
Practice Address - Country:US
Practice Address - Phone:304-675-7400
Practice Address - Fax:304-675-7401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLEASANT VALLEY HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-23
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2514H0200Z251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0001300002Medicaid
OH0370807Medicaid
WV0001300002Medicaid
WV517041Medicare Oscar/Certification