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Organization
COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL
Active
Organization
COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK WOOD M.B.A., V.C.O. (CEO FACILTY DIRECTOR)
(540) 375-4200
Entity
Organization
Contact information
Practice address
5525 CATAWBA HOSPITAL DR, CATAWBA, VA 24070-2115
(540) 375-4200
(540) 375-4249
Mailing address
PO BOX 200, CATAWBA, VA 24070-0200
(540) 375-4200
(540) 395-4249
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004920040
—
VA
01
—
010064767
TDO - MEDICAID
VA
Enumeration date
12/15/2006
Last updated
06/13/2008
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