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

Potomac Valley Hospital of Wv, Inc

Organization Emergency Medicine Physician · NPI 1578305256

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

In the registry since
2024
Specialties on file
2
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

566 S Mineral St
Keyser, WV 26726-2937
Phone: (304) 788-6685
Fax: (304) 788-5412
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X

Record details

NPI number1578305256
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPotomac Valley Hospital of Wv, Inc
Authorized official Mark Boucot — President/Ceo · (304) 597-3510
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address100 Pin Oak Ln, Keyser, WV 26726-5908

Other providers in Keyser