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NPI Code Detail

MEDICARE: PCH OPERATIONS, LLC

MEDICARE: PCH OPERATIONS, 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
1282NC0060XCritical Access HospitalH1919VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1146602OTHERVABLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3330049OTHERVAMAMSI

General Provider Information

NPI Number : 1538191721
Entity Type Code : Organization
Provider Name (Legal Business Name) : PCH OPERATIONS, LLC
Provider Business Mailing Address
First Line : 18688 JEB STUART HWY
Second Line :
City : STUART
State : VA
Zip : 24171-1559
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18688 JEB STUART HWY
Second Line :
City : STUART
State : VA
Zip : 24171-1559
Country : US
Telephone Number : 276-694-8678
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. JANICE F WILKINS
Credential :
Telephone Number : 276-694-8678
Provider Enumeration Date : 07/07/2006
Last Update Date : 12/16/2008

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Directions to “PCH OPERATIONS, LLC ” 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.

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