Organization
RUSSELL COUNTY MEDICAL CENTER, INC
Active
Parent organization
RUSSELL COUNTY MEDICAL CENTER, INC
Other names
Russell County Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELL COUNTY MEDICAL CENTER, INC
Authorized official
DAVID MILLER (VP, COMMUNITY HEALTH SYSTEMS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
58 CARROLL STREET, LEBANON, VA 24266
(276) 883-8000
(276) 889-4336
Mailing address
PO BOX 198250, ATLANTA, GA 30384-8250
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
09704001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007676
BLUE CROSS
VA
Enumeration date
06/21/2005
Last updated
11/27/2007
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