Organization
BEDFORD MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA H JOHNSON (DIRECTOR, PROFESSIONAL BILLING)
(540) 224-5715
Entity
Organization
Contact information
Practice address
1613 OAKWOOD ST, BEDFORD, VA 24523-1213
(540) 586-2441
(540) 224-5507
Mailing address
PO BOX 13966, ROANOKE, VA 24038-3966
(540) 586-2441
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H 1828
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000844
SLH
VA
01
—
007656
ANTHEM
VA
01
—
030589500
BLACK LUNG
VA
01
—
146322
SOUTHERN HEALTH
VA
01
—
169543000
WEST VIRGINIA MEDICAID
VA
01
—
354365000
MAGELLAN
VA
05
—
4900880
—
VA
Enumeration date
08/24/2005
Last updated
06/24/2011
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