OrganizationActive
City Hospital, Inc.
NPI 1720960479 · Urology Physician · Martinsburg, WV
Provider details
- NPI number
- 1720960479
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- City Hospital, Inc.
- Organization subpart
- Yes
- Authorized official
- Grover Kerns, Vp of Finance(304) 260-1443
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
880 N Tennessee Ave Ste 105b
Martinsburg, WV 25401-9401
Phone: (304) 596-5757
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 990
Morgantown, WV 26507-0990
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.