Provider Demographics
NPI:1508920273
Name:BUCHANAN GENERAL HOSPITAL INC
Entity Type:Organization
Organization Name:BUCHANAN GENERAL HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:RUCHTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-935-1000
Mailing Address - Street 1:1535 SLATE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GRUNDY
Mailing Address - State:VA
Mailing Address - Zip Code:24614-6974
Mailing Address - Country:US
Mailing Address - Phone:276-935-1000
Mailing Address - Fax:276-935-1538
Practice Address - Street 1:1535 SLATE CREEK RD
Practice Address - Street 2:
Practice Address - City:GRUNDY
Practice Address - State:VA
Practice Address - Zip Code:24614-6974
Practice Address - Country:US
Practice Address - Phone:276-935-1000
Practice Address - Fax:276-935-1538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1835282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0001785001Medicaid
KY65913436Medicaid
VA=========OtherTAX ID NUMBER
VACI4283Medicare PIN
WV0001785001Medicaid