Healthcare Provider Details

I. General information

NPI: 1114408929
Provider Name (Legal Business Name): BATH COUNTY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 CHURCH ST
MILLBORO VA
24460-2132
US

IV. Provider business mailing address

PO BOX Z
HOT SPRINGS VA
24445-0750
US

V. Phone/Fax

Practice location:
  • Phone: 540-997-9219
  • Fax: 540-839-4831
Mailing address:
  • Phone: 540-839-7197
  • Fax: 540-839-4831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberH1827
License Number StateVA

VIII. Authorized Official

Name: JANE RUSSELL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 540-839-7123