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Organization
BUCHANAN GENERAL HOSPITAL INC.
Active
Organization
BUCHANAN GENERAL HOSPITAL INC.
Active
Other names
Buchanan General Hospital Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT D. RUCHTI (ADMINISTRATOR)
(276) 935-1000
Entity
Organization
Contact information
Practice address
1535 SLATE CREEK ROAD, GRUNDY, VA 24614-9611
(276) 935-1509
(276) 935-1512
Mailing address
1535 SLATE CREEK ROAD, GRUNDY, VA 24614-9611
(276) 935-1509
(276) 935-1512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
VA497020
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004970209
—
VA
01
—
007500
BCBS PROVIDER NUMBER
VA
01
—
070932800
FEDERAL BLACK LUNG NUMBER
VA
01
—
070932800
F BLACK LUNG
—
Enumeration date
06/27/2005
Last updated
01/02/2014
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