| Organization Name: | DICKENSON COMMUNITY HOSPITAL, INC. |
| NPI Number: | 1285685727 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY LYNN KRUTAK (CFO) |
| Mailing Address: | 312 Hosptial Drive Clintwood |
| State: | VA US |
| Postal Code: | 242280000 |
| Phone Number: | 2769260300 |
| Fax Number: | 2769265064 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 10/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | H1918 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |