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Organization
TWIN COUNTY REGIONAL HOSPITAL
Active
Organization
TWIN COUNTY REGIONAL HOSPITAL
Active
Other names
OUTPATIENT REHABILITATION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON LEE MONTGOMERY CPA (CFO)
(276) 236-1620
Entity
Organization
Contact information
Practice address
607 GLENDALE RD, GALAX, VA 24333-2209
(276) 236-1675
(276) 236-3399
Mailing address
200 HOSPITAL DR, GALAX, VA 24333-2227
(276) 236-1675
(276) 236-1715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007694
BLUE CROSS
VA
05
—
0490115
—
VA
Enumeration date
10/30/2009
Last updated
10/30/2009
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