Organization Name: | PATRICK HENRY HOSPITAL, INC. |
NPI Number: | 1225143498 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID TATE (SENIOR VP, LTC) |
Mailing Address: | 672 Gloucester Rd Saluda |
State: | VA US |
Postal Code: | 23149 |
Phone Number: | 8047582363 |
Fax Number: | 8047583857 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 11/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 49E185 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |