Provider Demographics
NPI:1114549227
Name:RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC.
Entity Type:Organization
Organization Name:RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WADE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:804-438-4102
Mailing Address - Street 1:132 LANCASTER DR
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22480-9740
Mailing Address - Country:US
Mailing Address - Phone:804-438-4000
Mailing Address - Fax:804-438-4027
Practice Address - Street 1:132 LANCASTER DR
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:VA
Practice Address - Zip Code:22480-9740
Practice Address - Country:US
Practice Address - Phone:804-438-4000
Practice Address - Fax:804-438-4027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty