1972617850 NPI number — ROCKINGHAM MEMORIAL HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972617850 NPI number — ROCKINGHAM MEMORIAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCKINGHAM MEMORIAL HOSPITAL
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:
1972617850
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2013
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:
411 STONE SPRING RD
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:
22801-9660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-564-5735
Provider Business Practice Location Address Fax Number:
540-433-4378
Provider Enumeration Date:
08/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BURRIS
Authorized Official First Name:
J.
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
540-689-1245

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  EXEMPT - MCARE CERT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 142248 . This is a "SOUTHERN HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001802 . This is a "BLUE CROSS / ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 015080 . This is a "BLUE CROSS / ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 004972562 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 59064 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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