Organization
AUGUSTA HEALTH CARE, INC
Active
Other names
t/a Augusta Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARY N MANNIX (FACHE)
(540) 932-4000
Entity
Organization
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 932-4000
(540) 932-4616
Mailing address
PO BOX 1000, FISHERSVILLE, VA 22939-1000
(540) 932-5162
(540) 932-4616
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H 1826
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014
ANTHEM
VA
05
—
4900189
—
VA
01
—
509847
SOUTHERN HEALTH
VA
Enumeration date
10/28/2005
Last updated
07/25/2013
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