Provider Demographics
NPI:1235405531
Name:BLUEFIELD REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:BLUEFIELD REGIONAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCCAULIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:904-728-0437
Mailing Address - Street 1:360 S COLLEGE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-1752
Mailing Address - Country:US
Mailing Address - Phone:904-728-0437
Mailing Address - Fax:
Practice Address - Street 1:360 S COLLEGE AVE APT 2
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-1752
Practice Address - Country:US
Practice Address - Phone:904-728-0437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital