Healthcare Provider Details

I. General information

NPI: 1184620072
Provider Name (Legal Business Name): SMYTH COUNTY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 SNIDER STREET
MARION VA
24354
US

IV. Provider business mailing address

1118 SNIDER STREET
MARION VA
24354
US

V. Phone/Fax

Practice location:
  • Phone: 276-783-5148
  • Fax: 276-783-6716
Mailing address:
  • Phone: 276-783-5148
  • Fax: 276-783-6716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberH1902
License Number StateVA

VIII. Authorized Official

Name: MRS. LINDY P. WHITE
Title or Position: CEO
Credential:
Phone: 276-782-1240