Healthcare Provider Details

I. General information

NPI: 1376549261
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: 08/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 TERRACE DR
MARION VA
24354
US

IV. Provider business mailing address

1070 TERRACE DR
MARION VA
24354
US

V. Phone/Fax

Practice location:
  • Phone: 276-781-2225
  • Fax: 276-783-8843
Mailing address:
  • Phone: 276-781-2225
  • Fax: 276-783-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberH1902
License Number StateVA

VIII. Authorized Official

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