Organization
BEDFORD MEMORIAL HOSPITAL
Active
Organization
BEDFORD MEMORIAL HOSPITAL
Active
Other names
Centra Bedford Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI JURKUS (CEO)
(540) 587-3385
Entity
Organization
Contact information
Practice address
1621 WHITFIELD DR STE C, BEDFORD, VA 24523-1519
(434) 200-1816
Mailing address
1621 WHITFIELD DR STE C, BEDFORD, VA 24523-1519
(540) 224-4753
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
EXEMPT
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004910435
—
VA
01
—
147124
SOUTHERN HEALTH
VA
01
—
337476
ANTHEM
VA
Enumeration date
08/30/2005
Last updated
05/03/2024
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