Raleigh General Hospital LLC
Organization Active NPI Neurological Surgery Physician · Beckley, WV
NPI 1235383100 · NPPES record last updated Nov 5, 2008
Key facts
- NPI
- 1235383100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- RALEIGH GENERAL HOSPITAL LLC
- Practice address
- 1710 Harper Rd
Beckley, WV 25801-3357 - Phone
- (304) 461-0083
- NPI assigned
- Nov 5, 2008
- Organization subpart
- No
Authorized official
- Name
- David M Dill
- Title
- Coo
- Phone
- (615) 372-8500
Other NPIs on the same Medicare enrollment 18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040914001132 | WV | Part B Supplier - Clinic/Group Practice | 6103735154 |
Receives reassigned benefits from 67 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beckley, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes |
Addresses
Primary practice location
1710 Harper Rd
Beckley, WV 25801-3357
Mailing address
1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 461-0083
Other names
- Raleigh General Neurosurgery
Other providers in Beckley, WV
- Raleigh General Hospital
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
All providers in Beckley, WV · Neurological Surgery Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.