NPI 1619029105

Dickenson Community Hospital, INC.

Organisation Medicare Defined Swing Bed Hospital Unit Clintwood, VA

Practice location

Address: 312 Hospital Dr, Clintwood, VA 24228-6786
Phone: (276) 926-0300
Fax: (276) 926-0329
Mailing address: 311 Princeton Rd STE 1, Johnson City, TN 37601-2026

Authorised official

Name: Mary Lynn Krutak
Title: Evp/Cfo
Phone: (423) 302-3423

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary

Hospital Units Taxonomy 275N00000X

Other Medicare Defined Swing Bed Unit providers in Virginia →

Registry record

NPI: 1619029105
Entity type: Organization
NPI issued: 17 Jan 2007
Record last updated: 5 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.