Provider Demographics
NPI:1730497314
Name:RALEIGH GENERAL HOSPITAL
Entity Type:Organization
Organization Name:RALEIGH GENERAL HOSPITAL
Other - Org Name:RALEIGH NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:6153-728-5125
Mailing Address - Street 1:1717 HARPER RD
Mailing Address - Street 2:2ND FLOOR, SUITE G
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3373
Mailing Address - Country:US
Mailing Address - Phone:304-461-3909
Mailing Address - Fax:304-461-3916
Practice Address - Street 1:1717 HARPER RD
Practice Address - Street 2:2ND FLOOR, SUITE G
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3373
Practice Address - Country:US
Practice Address - Phone:304-461-3909
Practice Address - Fax:304-461-3916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty