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NPI Code Detail

MEDICARE: HALIFAX REGIONAL HOSPITAL, INC.

MEDICARE: HALIFAX REGIONAL HOSPITAL, 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
1282N00000XGeneral Acute Care HospitalH1853VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588668842
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALIFAX REGIONAL HOSPITAL, INC.
Provider Business Mailing Address
First Line : 2204 WILBORN AVE
Second Line :
City : SOUTH BOSTON
State : VA
Zip : 24592-1645
Country : US
Telephone Number : 434-517-3100
Fax Number : 434-517-3819
Provider Business Practice Location Address
First Line : 2204 WILBORN AVE
Second Line :
City : SOUTH BOSTON
State : VA
Zip : 24592-1645
Country : US
Telephone Number : 434-517-3100
Fax Number : 434-575-0377
Authorized Official
Title or Position : CFO
Name : MELINDA SUMMERLIN HANCOCK
Credential :
Telephone Number : 757-455-7458
Provider Enumeration Date : 06/02/2005
Last Update Date : 12/11/2025

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Directions to “HALIFAX REGIONAL HOSPITAL, INC. ” Practice Location

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