Provider Demographics
NPI:1114408929
Name:BATH COUNTY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:BATH COUNTY COMMUNITY HOSPITAL
Other - Org Name:BATH COMMUNITY PHYSICIANS GROUP MILLBORO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:LINGERFELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-839-7123
Mailing Address - Street 1:PO BOX Z
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24445-0750
Mailing Address - Country:US
Mailing Address - Phone:540-839-7197
Mailing Address - Fax:540-839-4831
Practice Address - Street 1:432 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MILLBORO
Practice Address - State:VA
Practice Address - Zip Code:24460-2132
Practice Address - Country:US
Practice Address - Phone:540-997-9219
Practice Address - Fax:540-839-4831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
VAH1827261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty