Organization
PHC-MARTINSVILLE, INC.
Active
Other names
Memorial Hospital of Martinsville and Henry County
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M. GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7200
(276) 666-7600
Mailing address
103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00301109
BLACK LUNG
VA
01
—
442271
ANTHEM BLUE CROSS
VA
05
—
4900791
—
VA
Enumeration date
11/29/2006
Last updated
08/22/2020
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