Healthcare Provider Details

I. General information

NPI: 1639180359
Provider Name (Legal Business Name): CATAWBA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 02/22/2017
Certification Date:
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 5525 CATAWBA HOSPITAL DRIVE
CATAWBA VA
24070-0200
US

V. Phone/Fax

Practice location:
  • Phone: 540-375-4200
  • Fax: 540-375-4708
Mailing address:
  • Phone: 540-375-4200
  • Fax: 540-375-4708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number0201000969
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number0201000969
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number0201000969
License Number StateVA

VIII. Authorized Official

Name: MR. WALTON MITCHELL
Title or Position: FACILITY DIRECTOR
Credential:
Phone: 540-375-4201