DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HALIFAX REGIONAL HOSPITAL, INC.

MEDICARE: HALIFAX REGIONAL HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care AgencyHSP-0621VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1442470OTHERVAHOSPICE BCBS PROVIDER NUM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013977933
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALIFAX REGIONAL HOSPITAL, INC.
Provider Business Mailing Address
First Line : 2204 WILBORN AVE
Second Line :
City : SOUTH BOSTON
State : VA
Zip : 24592-1645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2204 WILBORN AVE
Second Line :
City : SOUTH BOSTON
State : VA
Zip : 24592-1645
Country : US
Telephone Number : 434-517-3100
Fax Number : 434-575-6752
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : THOMAS KLUGE
Credential :
Telephone Number : 434-517-3100
Provider Enumeration Date : 03/24/2006
Last Update Date : 02/05/2015

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:
75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115
Practice Phone: 617-732-6049
Practice Fax: 617-264-5202
1588668842 — HALIFAX REGIONAL HOSPITAL, INC.
Practice Location Address:
2204 WILBORN AVE
SOUTH BOSTON, VA
24592-1645
Practice Phone: 434-517-3100
Practice Fax: 434-575-0377
1891786570 — HALIFAX REGIONAL HOSPITAL, INC
Practice Location Address:
2204 WILBORN AVE
SOUTH BOSTON, VA
24592-1645
Practice Phone: 434-517-3100
Practice Fax: 434-517-3819
1972563872 — HALIFAX REGIONAL HOSPITAL, INC.
Practice Location Address:
2204 WILBORN AVE
SOUTH BOSTON, VA
24592-1645
Practice Phone: 434-517-3100
Practice Fax: 434-575-6752
1881645471 — CESAR A SOUZA M.D.
Practice Location Address:
2204 WILBORN AVE
SOUTH BOSTON, VA
24592-1645
Practice Phone: 434-517-3139
Practice Fax: 434-572-6716
1306899406 — HECTOR MARQUEZ M.D.
Practice Location Address:
2204 WILBORN AVE
SOUTH BOSTON, VA
24592-1645
Practice Phone: 434-517-3139
Practice Fax: 434-572-6716

Directions to “HALIFAX REGIONAL HOSPITAL, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.