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NPI Code Detail

MEDICARE: RUXTON HEALTH OF STAUNTON, LLC

MEDICARE: RUXTON HEALTH OF STAUNTON, LLC
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
1314000000XSkilled Nursing FacilityNH2642VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295759611
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUXTON HEALTH OF STAUNTON, LLC
Provider Business Mailing Address
First Line : 512 HOUSTON ST
Second Line :
City : STAUNTON
State : VA
Zip : 24401-3525
Country : US
Telephone Number : 540-886-2335
Fax Number : 540-886-0781
Provider Business Practice Location Address
First Line : 512 HOUSTON ST
Second Line :
City : STAUNTON
State : VA
Zip : 24401-3525
Country : US
Telephone Number : 540-886-2335
Fax Number : 540-886-0781
Authorized Official
Title or Position : CEO
Name : MR. EAMONN DENNIS REILLY
Credential :
Telephone Number : 410-715-8900
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/22/2020

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Directions to “RUXTON HEALTH OF STAUNTON, LLC ” Practice Location

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