1043238967 NPI number — RMH MEDICAL GROUP LLC

Table of content: (NPI 1043238967)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043238967 NPI number — RMH MEDICAL GROUP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RMH MEDICAL GROUP LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043238967
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1430
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRISONBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22803-1430
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-564-7029
Provider Business Mailing Address Fax Number:
540-564-7172

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2275 HEALTH CAMPUS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRISONBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22801-8809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-689-4700
Provider Business Practice Location Address Fax Number:
540-689-4801
Provider Enumeration Date:
07/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BURRIS
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
540-689-1230

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X , with the licence number:  1202016194 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 335E00000X , with the licence number: 1202016194 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 137275 . This is a "BCBS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".