Healthcare Provider Details

I. General information

NPI: 1699713271
Provider Name (Legal Business Name): TWIN COUNTY REGIONAL HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GLENDALE RD
GALAX VA
24333-2208
US

IV. Provider business mailing address

200 HOSPITAL DR
GALAX VA
24333-2227
US

V. Phone/Fax

Practice location:
  • Phone: 276-236-1699
  • Fax:
Mailing address:
  • Phone: 276-236-1699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. BEN ANSLEY
Title or Position: DIRECTOR
Credential:
Phone: 276-236-1698