Provider Demographics
NPI:1053040741
Name:RAPPAHANNOCK HEALTH CORPORATION
Entity Type:Organization
Organization Name:RAPPAHANNOCK HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:FORREST
Authorized Official - Last Name:KOHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:540-519-1370
Mailing Address - Street 1:PO BOX 653
Mailing Address - Street 2:
Mailing Address - City:AMISSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20106-0653
Mailing Address - Country:US
Mailing Address - Phone:571-249-2493
Mailing Address - Fax:
Practice Address - Street 1:14820 LEE HWY
Practice Address - Street 2:
Practice Address - City:AMISSVILLE
Practice Address - State:VA
Practice Address - Zip Code:20106-4228
Practice Address - Country:US
Practice Address - Phone:571-249-2493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No281P00000XHospitalsChronic Disease Hospital
No302R00000XManaged Care OrganizationsHealth Maintenance Organization