Provider Demographics
NPI:1477608727
Name:GRAFTON CITY HOSPITAL INC
Entity Type:Organization
Organization Name:GRAFTON CITY HOSPITAL INC
Other - Org Name:WALLACE B MURPHY (SNF)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-265-0400
Mailing Address - Street 1:500 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WV
Mailing Address - Zip Code:26354-1184
Mailing Address - Country:US
Mailing Address - Phone:304-265-0400
Mailing Address - Fax:304-265-6419
Practice Address - Street 1:500 MARKET ST
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WV
Practice Address - Zip Code:26354-1184
Practice Address - Country:US
Practice Address - Phone:304-265-0400
Practice Address - Fax:304-265-6419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0001339001Medicaid
WV0001339001Medicaid