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NPI Code Detail

MEDICARE: COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL

MEDICARE: COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL
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
1283Q00000XPsychiatric Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000000007861OTHERVAANTHEM BLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538124433
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 2500
Second Line :
City : STAUNTON
State : VA
Zip : 24402-2500
Country : US
Telephone Number : 540-332-8200
Fax Number : 540-332-8197
Provider Business Practice Location Address
First Line : 103 VALLEY CENTER DR
Second Line :
City : STAUNTON
State : VA
Zip : 24401-5080
Country : US
Telephone Number : 540-332-8000
Fax Number :
Authorized Official
Title or Position : HOSPITAL DIRECTOR
Name : DR. JONATHAN C ANDERSON
Credential : M.D.
Telephone Number : 540-332-8200
Provider Enumeration Date : 04/20/2006
Last Update Date : 02/04/2025

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1033189964 — WILLIAM B HUNT III MD
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1346205069 — COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL
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STAUNTON, VA
24401-5080
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Directions to “COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.