Organization
COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK WOOD M.B.A., V.C.O. (CEO FACILTY DIRECTOR)
(540) 375-4200
Entity
Organization
Contact information
Practice address
5525 CATAWBA HOSPITAL DR, CATAWBA, VA 24070-2115
(540) 375-4200
(540) 375-4249
Mailing address
PO BOX 200, CATAWBA, VA 24070-0200
(540) 375-4200
(540) 395-4249
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004920040
—
VA
01
—
010064767
TDO - MEDICAID
VA
Enumeration date
12/15/2006
Last updated
06/13/2008
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