Organization Name: | HALIFAX REGIONAL HOSPITAL, INC. |
NPI Number: | 1013977933 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS KLUGE (CHIEF OPERATING OFFICER) |
Mailing Address: | 2204 Wilborn Ave South Boston |
State: | VA US |
Postal Code: | 245921645 |
Phone Number: | 4345173100 |
Fax Number: | 4345756752 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSP-0621 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |