# PCH OPERATIONS, LLC DBA R.J. REYNOLDS-PATRICK COUNTY MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1700818994
- **Authorized official:** MRS. JANICE F. WILKINS (ADMINISTRATOR)
- **Authorized official phone:** (276) 694-8678

## Contact information

- **Practice address:** 18688 JEB STUART HWY, STUART, VA 24171-1559
- **Practice address phone:** (276) 694-8678
- **Practice address fax:** (276) 694-8655
- **Mailing address:** 18688 JEB STUART HWY, STUART, VA 24171-1559
- **Mailing address phone:** (276) 694-8678
- **Mailing address fax:** (276) 694-8655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | H1919 | VA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 171871 | BLUE CROSS | VA |
| 01 | — | 330049 | MAMSI | VA |