# RUSSELL COUNTY MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Russell County Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922003730
- **Authorized official:** DAVID MILLER (VP, COMMUNITY HEALTH SYSTEMS)
- **Authorized official phone:** (888) 373-9600

## Contact information

- **Practice address:** 58 CARROLL STREET, LEBANON, VA 24266
- **Practice address phone:** (276) 883-8000
- **Mailing address:** PO BOX 198250, ATLANTA, GA 30384-8250
- **Mailing address phone:** (276) 883-8000
- **Mailing address fax:** (276) 889-4336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H1892 | VA | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 11/27/2007