Healthcare Provider Details

I. General information

NPI: 1427388941
Provider Name (Legal Business Name): TWIN COUNTY REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2010
Last Update Date: 01/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOSPITAL DR
GALAX VA
24333-2227
US

IV. Provider business mailing address

200 HOSPITAL DR
GALAX VA
24333-2227
US

V. Phone/Fax

Practice location:
  • Phone: 276-236-8181
  • Fax: 276-236-1709
Mailing address:
  • Phone: 276-236-8181
  • Fax: 276-236-1709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number StateVA

VIII. Authorized Official

Name: MR. CM MITCHELL
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARM
Phone: 276-236-8181