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Organization
VIRGINIA GAY HOSPITAL, INC.
Active
Organization
VIRGINIA GAY HOSPITAL, INC.
Active
Parent organization
VIRGINIA GAY HOSPITAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA GAY HOSPITAL, INC.
Authorized official
BARRY DIETSCH (CFO)
(319) 472-6255
Entity
Organization
Contact information
Practice address
401 CARDINAL AVE, ATKINS, IA 52206-4700
(319) 446-7806
Mailing address
502 N 9TH AVE, VINTON, IA 52349-2299
(319) 472-6200
(319) 472-6340
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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