=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225036346
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BUCHANAN GENERAL HOSPITAL, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/12/2005
-----------------------------------------------------
Last Update Date | 03/04/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1535 SLATE CREEK RD
-----------------------------------------------------
City | GRUNDY
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24614-6974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-935-1000
-----------------------------------------------------
Fax | 276-935-1538
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1535 SLATE CREEK RD
-----------------------------------------------------
City | GRUNDY
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24614-6974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-935-1000
-----------------------------------------------------
Fax | 276-935-1538
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. ROBERT D RUCHTI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 276-935-1000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | H1835
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------