SMYTH COUNTY COMMUNITY HOSPITAL NPI 1174529242

NPI Information

NPI: 1174529242
Provider Name: SMYTH COUNTY COMMUNITY HOSPITAL

Doing Business As: BHRHC GLADE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
636 S MONTE VISTA DR
GLADE SPRING, VA
ZIP 24340
Phone: (276) 429-5163
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SMYTH COUNTY COMMUNITY HOSPITAL is a rural health clinic center in Glade Spring, VA. SMYTH COUNTY COMMUNITY HOSPITAL NPI is 1174529242. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhrhc Glade.

The provider's business location address is:

636 S MONTE VISTA DR
GLADE SPRING, VA
ZIP 24340-712
Phone: (276) 429-5163
Fax: (276) 429-5515

The provider's authorized official is Shane Edwin Hilton .
The authorized official title is Evp/cfo and has the following contact phone number (423) 302-3467.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 4/16/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	H1902	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	007610131	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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