# VIRGINIA GAY HOSPITAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIRGINIA GAY HOSPITAL, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083258230
- **Legal business name:** VIRGINIA GAY HOSPITAL, INC.
- **Authorized official:** BARRY DIETSCH (CFO)
- **Authorized official phone:** (319) 472-6255

## Contact information

- **Practice address:** 401 CARDINAL AVE, ATKINS, IA 52206-4700
- **Practice address phone:** (319) 446-7806
- **Mailing address:** 502 N 9TH AVE, VINTON, IA 52349-2299
- **Mailing address phone:** (319) 472-6200
- **Mailing address fax:** (319) 472-6340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/31/2019
- **Last updated:** 10/31/2019