# HALIFAX REGIONAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Halifax Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972563872
- **Authorized official:** THOMAS KLUGE (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (434) 517-3100

## Contact information

- **Practice address:** 2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
- **Practice address phone:** (434) 517-3100
- **Practice address fax:** (434) 575-6752
- **Mailing address:** 2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
- **Mailing address phone:** (434) 517-3100
- **Mailing address fax:** (434) 575-6752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 02/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001841 | BCBS HOME HEALTH PROV | VA |
| 05 | — | 4972872 | — | VA |