Provider Demographics
NPI:1437453081
Name:SMYTH COUNTY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:SMYTH COUNTY COMMUNITY HOSPITAL
Other - Org Name:SMYTH REGIONAL OB GYN A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, VP
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:P
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-782-1240
Mailing Address - Street 1:1112 SNIDER ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4216
Mailing Address - Country:US
Mailing Address - Phone:276-783-2354
Mailing Address - Fax:276-783-2083
Practice Address - Street 1:1112 SNIDER ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4216
Practice Address - Country:US
Practice Address - Phone:276-783-2354
Practice Address - Fax:276-783-2083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty