Buchanan General Hospital Inc
Organization Active NPI Rural Health Clinic/Center · Grundy, VA
NPI 1740873009 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1740873009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BUCHANAN GENERAL HOSPITAL INC
- Practice address
- 1532 Slate Creek Rd Ste 105
Grundy, VA 24614-6975 - Phone
- (276) 935-1760
- NPI assigned
- Feb 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Kimetha Lea Boyd
- Title
- Chief Financial Officer
- Phone
- (276) 935-1111
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 8
Practitioners 12
-
Christopher S Copley, D.O.
-
Latisha Mechele Hilton, D.O.
-
Angela Horn, FNP
-
Freda Y Powers, FNP
-
Anthony Julius Cichocki, CRNA
-
Sainath Gaddam, MBBS, MD
-
Tamanna Nahar, MD
-
Keshia Brooke Hackworth, FNP-BC
-
Pamela D Harrison, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210928002375 | VA | Part a Provider - Other | 4688581663 | Practice locations: Grundy, VA |
National Provider Directory
- Tax ID family
- Jaitly Rakesh MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1532 Slate Creek Rd Ste 105
Grundy, VA 24614-6975
Mailing address
1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000
Other names
- Commonwealth Family Clinic
Other providers in Grundy, VA
- Buchanan County Public Schools
- Buchanan General Hospital
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc.
- Buchanan General Hospital, Inc
- Buchanan Health Care LLC
All providers in Grundy, VA · Rural Health Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. 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.