Bedford Memorial Hospital

Organization Active NPI Developmentally Disabled Services Day Training Agency · Bedford, VA

NPI 1114975331 · NPPES record last updated Mar 25, 2021

Key facts

NPI
1114975331
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
BEDFORD MEMORIAL HOSPITAL
Practice address
1613 Oakwood St
Bedford, VA 24523-1213
Phone
(540) 224-5512
Fax
(540) 224-5507
NPI assigned
May 4, 2006
Organization subpart
No

Authorized official

Name
Doug Davenport
Title
Cfo
Phone
(434) 200-4708

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bedford Co Mem Hosp (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

1613 Oakwood St
Bedford, VA 24523-1213

Mailing address

213 S Jefferson St
Roanoke, VA 24011-1705
Phone (540) 224-5512

Other identifiers

IdentifierTypeStateIssuer
004948343MedicaidVA
008730342MedicaidVA

Other names

  • Bedford Adult Day Center Other name

Other providers in Bedford, VA

All providers in Bedford, VA · Developmentally Disabled Services Day Training Agency in Virginia

Sources for this page

Verify at the official NPI Registry.