1780694372 NPI number — SENTARA RMH MEDICAL CENTER

Table of content: (NPI 1780694372)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780694372 NPI number — SENTARA RMH MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SENTARA RMH MEDICAL CENTER
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:
1780694372
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2010 HEALTH CAMPUS DR
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:
22801-8679
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-689-1200
Provider Business Mailing Address Fax Number:
540-689-1220

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2010 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:
22801-8679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-689-1200
Provider Business Practice Location Address Fax Number:
540-689-1220
Provider Enumeration Date:
08/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BROERMANN
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
757-455-7020

Provider Taxonomy Codes

  • Taxonomy code: 261QR0404X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: H1891 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4900004 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0008576420002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9022601 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9382 . This is a "SOUTHERN HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4900049 . This is a "STATE & LOCAL HOSPITALIZA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 0148254 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1008021 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 117908105 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000013 . This is a "BLUE CROSS / ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01007212 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 138708 . This is a "KAISER PERMANENTE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 49-0004-9 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0001513000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00816109 , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 091248400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11204B/10542A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 411855300 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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