Provider Demographics
NPI:1760519334
Name:COMMONWEALTH OF VIRGINIA PIEDMONT GERIATRIC HOSPITAL
Entity Type:Organization
Organization Name:COMMONWEALTH OF VIRGINIA PIEDMONT GERIATRIC HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY TECHNICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALMARODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-767-4922
Mailing Address - Street 1:5001 EAST PATRICK HENRY HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:BURKEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23922
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5001 EAST PATRICK HENRY HIGHWAY
Practice Address - Street 2:
Practice Address - City:BURKEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23922
Practice Address - Country:US
Practice Address - Phone:434-767-4922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230009826282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital