# PATRICK HENRY HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Convalescent Center, Saluda
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225143498
- **Authorized official:** MR. WALTER W AUSTIN (CFO)
- **Authorized official phone:** (757) 875-7846

## Contact information

- **Practice address:** 672 GLOUCESTER RD, SALUDA, VA 23149
- **Practice address phone:** (804) 758-2363
- **Practice address fax:** (804) 758-3857
- **Mailing address:** 608 DENBIGH BLVD, SUITE 600, NEWPORT NEWS, VA 23608-4410
- **Mailing address phone:** (757) 875-2023
- **Mailing address fax:** (757) 875-2016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 49E185 | VA | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 49E185 | VA | — |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 01/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004966767 | — | VA |