Healthcare Provider Details
I. General information
NPI: 1215151246
Provider Name (Legal Business Name): VA MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2007
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 HYDE CT
STEPHENS CITY VA
22655-3113
US
IV. Provider business mailing address
308 SORREL LN
WINCHESTER VA
22602-4757
US
V. Phone/Fax
- Phone: 540-869-0600
- Fax: 540-869-1984
- Phone: 540-667-3562
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QV0200X |
| Taxonomy | VA Clinic/Center |
| License Number | 0001056349 |
| License Number State | VA |
VIII. Authorized Official
Name: MRS.
MARGARET
ELLEN
ARONHALT
Title or Position: STAFF NURSE
Credential: RN
Phone: 304-263-0811