Healthcare Provider Details
I. General information
NPI: 1134451651
Provider Name (Legal Business Name): FAUQUIER HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2010
Last Update Date: 02/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 HOSPITAL DR
WARRENTON VA
20186-3027
US
IV. Provider business mailing address
500 HOSPITAL DR
WARRENTON VA
20186-3027
US
V. Phone/Fax
- Phone: 540-316-2680
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NR1301X |
| Taxonomy | Rural Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELENA
COOPER
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 540-316-2680