Organization
COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK W BARBER M.D. (HOSPITAL DIRECTOR)
(540) 332-8200
Entity
Organization
Contact information
Practice address
1301 RICHMOND AVE, STAUNTON, VA 24401-9146
(540) 332-8200
(540) 332-8197
Mailing address
PO BOX 2500, 1301 RICHMOND RD., STAUNTON, VA 24402-2500
(540) 332-8200
(540) 332-8197
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000007816
ANTHEM BLUE CROSS
VA
05
—
004901061
—
VA
Enumeration date
04/17/2006
Last updated
11/05/2009
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