Healthcare Provider Details

I. General information

NPI: 1871574368
Provider Name (Legal Business Name): BEDFORD MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 05/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 OAKWOOD ST
BEDFORD VA
24523-1213
US

IV. Provider business mailing address

PO BOX 41000
LYNCHBURG VA
24506-4100
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-1816
  • Fax:
Mailing address:
  • Phone: 434-200-1816
  • Fax: 434-200-6638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. PATTI JURKUS
Title or Position: CEO
Credential:
Phone: 540-587-3385