Provider Demographics
NPI:1932654522
Name:CITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:CITY HOSPITAL, INC.
Other - Org Name:WVU MEDICINE NEUROLOGY, OPERATED BY BERKELEY MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
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 1:156 HEALTH CARE LN
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-4009
Mailing Address - Country:US
Mailing Address - Phone:304-264-0704
Mailing Address - Fax:304-264-0804
Practice Address - Street 1:156 HEALTH CARE LN
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-4009
Practice Address - Country:US
Practice Address - Phone:304-264-0704
Practice Address - Fax:304-264-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty