Healthcare Provider Details

I. General information

NPI: 1124234778
Provider Name (Legal Business Name): BLUEFIELD REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 HUFFARD DR
BLUEFIELD VA
24605-9209
US

IV. Provider business mailing address

106 HUFFARD DR
BLUEFIELD VA
24605-9209
US

V. Phone/Fax

Practice location:
  • Phone: 276-322-3427
  • Fax: 276-322-4640
Mailing address:
  • Phone: 276-322-3427
  • Fax: 276-322-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHARON LYNN WHITTEKER
Title or Position: CEO
Credential:
Phone: 304-327-1100