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NPI Code Detail

MEDICARE: TWIN COUNTY REGIONAL HEALTHCARE, INC

MEDICARE: TWIN COUNTY REGIONAL HEALTHCARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital UnitH1909VA

General Provider Information

NPI Number : 1043291859
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWIN COUNTY REGIONAL HEALTHCARE, INC
Provider Business Mailing Address
First Line : 200 HOSPITAL DR
Second Line :
City : GALAX
State : VA
Zip : 24333-2227
Country : US
Telephone Number : 276-236-8181
Fax Number : 276-236-1715
Provider Business Practice Location Address
First Line : 200 HOSPITAL DR
Second Line :
City : GALAX
State : VA
Zip : 24333-2227
Country : US
Telephone Number : 276-236-8181
Fax Number : 276-236-1715
Authorized Official
Title or Position : CFO
Name : MR. NELSON MONTGOMERY
Credential :
Telephone Number : 276-238-3504
Provider Enumeration Date : 11/09/2005
Last Update Date : 10/16/2007

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1225009848 — TWIN COUNTY REGIONAL HEALTHCARE, INC
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818 GLENDALE ROAD , SUITE 1
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Directions to “TWIN COUNTY REGIONAL HEALTHCARE, INC ” Practice Location

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