Organization
HALIFAX REGIONAL HOSPITAL, INC.
Active
Other names
Sentara Halifax Hospice and Palliative Care
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
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSP-0621
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442470
HOSPICE BCBS PROVIDER NUM
VA
05
—
4910231
—
VA
Enumeration date
03/24/2006
Last updated
02/05/2015
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