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HALIFAX REGIONAL HOSPITAL INC. NPI 1013977933


NPI Information

NPI: 1013977933
Provider Name: HALIFAX REGIONAL HOSPITAL, INC.

Doing Business As: SENTARA HALIFAX HOSPICE AND PALLIATIVE CARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2204 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 517-3100
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HALIFAX REGIONAL HOSPITAL, INC. is a hospice care community based in South Boston, VA. HALIFAX REGIONAL HOSPITAL, INC. NPI is 1013977933. The provider is registered as an organization entity type.
The provider Is Doing Business As Sentara Halifax Hospice And Palliative Care.

The provider's business location address is:

2204 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592-645
Phone: (434) 517-3100
Fax: (434) 575-6752

The provider's authorized official is Thomas Kluge .
The authorized official title is Chief Operating Officer and has the following contact phone number (434) 517-3100.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 2/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedHSP-0621VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1442470OTHERVIRGINIAHOSPICE BCBS PROVIDER NUM
24910231MEDICAIDVIRGINIA
3491555MEDICARE OSCAR/CERTIFICATIONVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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