Organization
BLUEFIELD REGIONAL MEDICAL CENTER INC
Active
Parent organization
BLUEFIELD REGIONAL MEDICAL CENTER INC
Other names
BLUEFIELD INTERNAL MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUEFIELD REGIONAL MEDICAL CENTER INC
Authorized official
SHARON LYNN WHITTEKER (CEO)
(304) 327-1100
Entity
Organization
Contact information
Practice address
2111 COLLEGE AVE, BLUEFIELD, VA 24605-2002
(276) 322-4661
(276) 322-4663
Mailing address
2111 COLLEGE AVE, BLUEFIELD, VA 24605-2002
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001209004
—
WV
01
—
000706715
MT STATE BLUE CROSS BLUE SHIELD
WV
01
—
460110
ANTHEM (BCBS OF VIRGINIA)
VA
Enumeration date
05/02/2008
Last updated
08/08/2008
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