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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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1861001539
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 : 757-455-7395
Fax Number :
Provider Business Practice Location Address
First Line : 946 N MAIN ST
Second Line :
City : CHASE CITY
State : VA
Zip : 23924-1139
Country : US
Telephone Number : 434-372-5141
Fax Number :
Authorized Official
Title or Position : CFO
Name : MELINDA SUMMERLIN HANCOCK
Credential :
Telephone Number : 757-455-7458
Provider Enumeration Date : 07/28/2020
Last Update Date : 12/11/2025

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Directions to “HALIFAX REGIONAL HOSPITAL, INC ” Practice Location

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