Organization
COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN C ANDERSON M.D. (HOSPITAL DIRECTOR)
(540) 332-8200
Entity
Organization
Contact information
Practice address
103 VALLEY CENTER DR, STAUNTON, VA 24401-5080
(540) 332-8000
Mailing address
PO BOX 2500, STAUNTON, VA 24402-2500
(540) 332-8200
(540) 332-8197
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000007816
ANTHEM BLUE CROSS
VA
05
—
004941063
—
VA
05
—
010064830
—
VA
Enumeration date
04/18/2006
Last updated
02/04/2025
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