| Organization Name: | WYTHE COUNTY COMMUNITY HOSPITAL LLC |
| NPI Number: | 1104928514 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY G. SERAPHINE (PRESIDENT) |
| Mailing Address: | 600 W Ridge Rd Hospice Of Southwest Virginia Wytheville |
| State: | VA US |
| Postal Code: | 24382 |
| Phone Number: | 2762281710 |
| Fax Number: | 2762281719 |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 10/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HSP06121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |