Provider Demographics
NPI:1518194166
Name:RALEIGH GENERAL HOSPITAL LLC
Entity Type:Organization
Organization Name:RALEIGH GENERAL HOSPITAL LLC
Other - Org Name:RALEIGH ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:1717 HARPER RD
Mailing Address - Street 2:SECOND FLOOR, SUITE A
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3373
Mailing Address - Country:US
Mailing Address - Phone:304-461-3903
Mailing Address - Fax:304-461-3915
Practice Address - Street 1:1717 HARPER RD
Practice Address - Street 2:SECOND FLOOR, SUITE A
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3373
Practice Address - Country:US
Practice Address - Phone:304-461-3903
Practice Address - Fax:304-461-3915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RALEIGH GENERAL HOSPITAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-22
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty