1538100029 NPI number — COLUMBIA-ALLEGHANY REGIONAL HOSPITAL INC

Table of content: (NPI 1538100029)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538100029 NPI number — COLUMBIA-ALLEGHANY REGIONAL HOSPITAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBIA-ALLEGHANY REGIONAL HOSPITAL INC
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:
6
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:
1538100029
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOW MOOR
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24457-0007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-862-6011
Provider Business Mailing Address Fax Number:
540-862-6589

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 ARH LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOW MOOR
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-862-6011
Provider Business Practice Location Address Fax Number:
540-862-6589
Provider Enumeration Date:
06/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
REYNOLDS
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
540-776-4125

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 004901266 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01601293 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 150204000 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00568290 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 031311500 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061092 . This is a "WELLPOINT" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 323493 . This is a "MAMSI, ALLIANCE, MDIPA OC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 157274105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4900126 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11188A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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