Organization
BUCHANAN GENERAL HOSPITAL INC.
Active
Other names
Buchanan General Hospital Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT D. RUCHTI (ADMINISTRATOR)
(276) 935-1000
Entity
Organization
Contact information
Practice address
1535 SLATE CREEK ROAD, GRUNDY, VA 24614-9611
(276) 935-1509
(276) 935-1512
Mailing address
1535 SLATE CREEK ROAD, GRUNDY, VA 24614-9611
(276) 935-1509
(276) 935-1512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
VA497020
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004970209
—
VA
01
—
007500
BCBS PROVIDER NUMBER
VA
01
—
070932800
FEDERAL BLACK LUNG NUMBER
VA
01
—
070932800
F BLACK LUNG
—
Enumeration date
06/27/2005
Last updated
01/02/2014
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