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Organization

HALIFAX REGIONAL HOSPITAL

Active
Other names
Sentara Halifax Regional Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE W ELLIOTT (COORDINATOR THIRD PARTY PAYERS)
(434) 517-3156
Entity
Organization

Contact information

Practice address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3100
(434) 575-0377
Mailing address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3100
(434) 575-0377

Taxonomy

Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
H1853
VA
246W00000X
Cardiology Technician
H1853
VA
282N00000X
General Acute Care Hospital
Primary
H1853
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005802334
VA
05
005810922
VA
05
005828902
VA
05
005831300
VA
05
005875251
VA
05
006017738
VA
05
006041736
VA
05
006072097
VA
05
006081011
VA
05
006086675
VA
05
006087701
VA
05
006089526
VA
05
006604510
VA
05
007306628
VA
05
010053871
VA
05
010110041
VA
05
010263867
VA
Enumeration date
07/19/2006
Last updated
04/09/2015
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