Provider Demographics
NPI:1538100029
Name:COLUMBIA-ALLEGHANY REGIONAL HOSPITAL INC
Entity Type:Organization
Organization Name:COLUMBIA-ALLEGHANY REGIONAL HOSPITAL INC
Other - Org Name:LEWISGALE HOSPITAL ALLEGHANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:H
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-776-4125
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:LOW MOOR
Mailing Address - State:VA
Mailing Address - Zip Code:24457-0007
Mailing Address - Country:US
Mailing Address - Phone:540-862-6011
Mailing Address - Fax:540-862-6589
Practice Address - Street 1:1 ARH LN
Practice Address - Street 2:
Practice Address - City:LOW MOOR
Practice Address - State:VA
Practice Address - Zip Code:24457
Practice Address - Country:US
Practice Address - Phone:540-862-6011
Practice Address - Fax:540-862-6589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004901266Medicaid
KY01601293Medicaid
150204000OtherDEPT OF LABOR
NY00568290Medicaid
031311500OtherBLACK LUNG
VA061092OtherWELLPOINT
323493OtherMAMSI, ALLIANCE, MDIPA OC
AR157274105Medicaid
NC4900126Medicaid
SC11188AMedicaid
323493OtherMAMSI, ALLIANCE, MDIPA OC