Provider Demographics
NPI:1518008390
Name:HAMPSHIRE MEMORIAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:HAMPSHIRE MEMORIAL HOSPITAL, INC.
Other - Org Name:HAMPSHIRE MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-536-8031
Mailing Address - Street 1:190 CAMPUS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2872
Mailing Address - Country:US
Mailing Address - Phone:540-536-8031
Mailing Address - Fax:540-540-8019
Practice Address - Street 1:363 SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757
Practice Address - Country:US
Practice Address - Phone:304-822-4561
Practice Address - Fax:304-822-7809
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMPSHIRE MEMORIAL HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-12
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV51Z311Medicare Oscar/Certification