Organization
MONTGOMERY REGIONAL HOSPITAL INC
Active
Other names
LEWISGALE HOSPITAL MONTGOMERY
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GRAHAM (CONTROLLER)
(540) 953-5106
Entity
Organization
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-1111
(540) 953-5295
Mailing address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-1111
(540) 953-5295
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442566
WELLPOINT VA/BLUE CROSS
VA
Enumeration date
05/26/2006
Last updated
03/22/2011
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