# VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1598994238
- **Authorized official:** SHEILA E JORDAN R.R.T. (SUPVR. CARDIOPULMONARY SVC)
- **Authorized official phone:** (740) 773-1141

## Contact information

- **Practice address:** 17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
- **Practice address phone:** (740) 773-1141
- **Mailing address:** 17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
- **Mailing address phone:** (740) 773-1141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 4755 | OH | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/02/2009