Provider Demographics
NPI:1063481141
Name:PLEASANT VALLEY HOSPITAL, INC
Entity Type:Organization
Organization Name:PLEASANT VALLEY HOSPITAL, INC
Other - Org Name:PLEASANT VALLEY HOSPICE
Other - Org Type:Doing Business As
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 1:518 E. MAIN STREET
Practice Address - Street 2:
Practice Address - City:POMEROY
Practice Address - State:OH
Practice Address - Zip Code:45769
Practice Address - Country:US
Practice Address - Phone:740-992-6916
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:2006-03-14
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0001300003Medicaid
OH2048715Medicaid
OH361637Medicare Oscar/Certification
WV0001300003Medicaid