# COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114036902
- **Authorized official:** DR. JACK W BARBER M.D. (HOSPITAL DIRECTOR)
- **Authorized official phone:** (540) 332-8200

## Contact information

- **Practice address:** 1301 RICHMOND ROAD, STAUNTON, VA 24401
- **Practice address phone:** (540) 332-8200
- **Practice address fax:** (540) 332-8197
- **Mailing address:** PO BOX 2500, 1301 RICHMOND RD., STAUNTON, VA 24402-2500
- **Mailing address phone:** (540) 332-8200
- **Mailing address fax:** (540) 332-8197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 0201002076 | VA | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 11/05/2009