Healthcare Provider Details

I. General information

NPI: 1518981869
Provider Name (Legal Business Name): COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 CATAWBA HOSPITAL DR
CATAWBA VA
24070-2115
US

IV. Provider business mailing address

PO BOX 200
CATAWBA VA
24070-0200
US

V. Phone/Fax

Practice location:
  • Phone: 540-375-4200
  • Fax: 540-375-4249
Mailing address:
  • Phone: 540-375-4200
  • Fax: 540-375-4249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES LAW
Title or Position: COO, CHIEF OPERATING OFFICER
Credential: PHD., V.C.O.
Phone: 540-375-4201