Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Memorial Hospital

Organization Parenteral & Enteral Nutrition Supplies (DME) · NPI 1265623094

Grant Memorial Hospital is a Parenteral & Enteral Nutrition Supplies (DME) in Petersburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
Specialties on file
4

Practice location Address checks out

117 Hospital Dr
Petersburg, WV 26847-9566
Phone: (304) 257-1026
Fax: (304) 257-9622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Institutional Pharmacy (primary) Taxonomy 3336I0012X · Licence IP0550877 (WV)
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1265623094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenton Harman — Pic · (304) 257-1026
Other names Grant Memorial Hospital
NPI enumeratedAugust 7, 2007
Last updated in NPPESFebruary 16, 2017
Mailing address117 Hospital Dr, Po Box 1019, Petersburg, WV 26847-9566

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