| Organization Name: | PATRICK HENRY HOSPITAL, INC. |
| NPI Number: | 1255448379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID TATE (SENIOR VP, LTC) |
| Mailing Address: | 603 Main St. Mathews |
| State: | VA US |
| Postal Code: | 23109 |
| Phone Number: | 8047259443 |
| Fax Number: | 8047253184 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 11/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | 49E215 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |