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

Potomac Valley Hospital of W VA , Inc

Organization Internal Medicine Physician · NPI 1124842786

Potomac Valley Hospital of W VA , Inc is an Internal Medicine Physician in Keyser, West Virginia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

537 S Mineral St
Keyser, WV 26726-2936
Phone: (304) 788-1274
Fax: (304) 788-5154
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1124842786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Boucot — President/Ceo · (304) 597-3510
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address100 Pin Oak Ln, Keyser, WV 26726-5908

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