Healthcare Provider Details

I. General information

NPI: 1487907341
Provider Name (Legal Business Name): WINCHESTER MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 06/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 AMHERST ST
WINCHESTER VA
22601-2808
US

IV. Provider business mailing address

1840 AMHERST ST
WINCHESTER VA
22601-2808
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-8700
  • Fax: 540-536-4445
Mailing address:
  • Phone: 540-536-8700
  • Fax: 540-536-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GRADY W PHILIPS III
Title or Position: SR. VP AND COO
Credential:
Phone: 540-536-2607