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Organization
HALIFAX REGIONAL HOSPITAL, INC.
Active
Organization
HALIFAX REGIONAL HOSPITAL, INC.
Active
Other names
Sentara Halifax Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KLUGE (CHIEF OPERATING OFFICER)
(434) 517-3100
Entity
Organization
Contact information
Practice address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3100
(434) 575-6752
Mailing address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3100
(434) 575-6752
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001841
BCBS HOME HEALTH PROV
VA
05
—
4972872
—
VA
Enumeration date
03/24/2006
Last updated
02/05/2015
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