Provider Demographics
NPI:1114153046
Name:RALEIGH GENERAL HOSPITAL LLC
Entity Type:Organization
Organization Name:RALEIGH GENERAL HOSPITAL LLC
Other - Org Name:RALEIGH GENERAL SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-843-8885
Mailing Address - Street 1:1007 S OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-5977
Mailing Address - Country:US
Mailing Address - Phone:304-461-0083
Mailing Address - Fax:304-461-0087
Practice Address - Street 1:1007 S OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-5977
Practice Address - Country:US
Practice Address - Phone:304-461-0083
Practice Address - Fax:304-461-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty