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General NPI Number Information
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NPI Number | 1902900202
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Entity Type | Organization
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Legal Business Name | PCH OPERATIONS, LLC DBA R.J. REYNOLDS-PATRICK COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 18688 JEB STUART HIGHWAY
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City | STUART
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State | VA
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Zip | 24171
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Country | US
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Telephone | 276-694-3151
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Fax | 276-694-8655
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Provider Business Mailing Address
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Address Line | 18688 JEB STUART HIGHWAY
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City | STUART
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State | VA
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Zip | 24171
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Country | US
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Telephone | 276-694-3151
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Fax | 276-694-8655
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JANICE F. WILKINS
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Credential |
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Telephone | 276-694-8678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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