Organization
MOUNTAIN VIEW REGIONAL MEDICAL CENTER HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR. VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
417 W MAIN ST, WISE, VA 24293-6904
(276) 679-9130
(276) 328-4360
Mailing address
PO BOX 440, NORTON, VA 24273-0440
(276) 679-9130
(276) 328-4360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174751
ANTHEM
VA
Enumeration date
01/30/2006
Last updated
08/22/2020
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