Organization
AUGUSTA HEALTH CARE, INC
Active
Parent organization
AUGUSTA HEALTH CARE, INC
Other names
Care Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUGUSTA HEALTH CARE, INC
Authorized official
WILLIAM J MEADOR (CFO)
(540) 932-4000
Entity
Organization
Contact information
Practice address
64 SPORTS MEDICINE DR, FISHERSVILLE, VA 22939
(540) 932-4955
Mailing address
PO BOX 215, FISHERSVILLE, VA 22939-0215
(540) 932-5162
(540) 332-5875
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411390
BLACK LUNG
VA
01
—
67712
ANTHEM
VA
05
—
9136525
—
VA
Enumeration date
02/21/2006
Last updated
12/20/2023
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