Healthcare Provider Details

I. General information

NPI: 1770554214
Provider Name (Legal Business Name): EMPORIA HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 09/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 N MAIN ST
EMPORIA VA
23847-1274
US

IV. Provider business mailing address

PO BOX 503260
SAINT LOUIS MO
63150-3260
US

V. Phone/Fax

Practice location:
  • Phone: 434-348-4400
  • Fax: 434-348-4933
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH1852
License Number StateVA

VIII. Authorized Official

Name: PAULA M LALOR
Title or Position: DIRECTOR/DELEGATED OFFICIAL
Credential:
Phone: 615-925-4565