Organization
BLUEFIELD REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIAMS (DIR REV MANAGEMENT)
(304) 325-1991
Entity
Organization
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701
(304) 327-1100
(304) 324-2628
Mailing address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1100
(304) 324-2628
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
19
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001209000
—
WV
05
—
00012090003
—
WV
05
—
0001209004
—
WV
01
—
000301718
MOUNTAIN STATE BLUE CROSS
—
05
—
007610581
—
VA
05
—
009818707
—
VA
01
—
030017500
DEPT OF LABOR
—
01
—
5100711
PALMETTO GBA MEDICARE PAR
—
01
—
CG0100
PALMETTO GBA MEDICARE PAR
—
Enumeration date
05/06/2006
Last updated
05/20/2008
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