Healthcare Provider Details

I. General information

NPI: 1366423501
Provider Name (Legal Business Name): RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 LANCASTER DR
IRVINGTON VA
22480-9740
US

IV. Provider business mailing address

132 LANCASTER DR
IRVINGTON VA
22480-9740
US

V. Phone/Fax

Practice location:
  • Phone: 804-438-4000
  • Fax: 804-438-4027
Mailing address:
  • Phone: 804-438-4000
  • Fax: 804-438-4027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2659
License Number StateVA

VIII. Authorized Official

Name: MR. STUART A BUNTING
Title or Position: PRESIDENT & CEO
Credential:
Phone: 804-438-4003