Provider Demographics
NPI:1881631943
Name:SHELTERING ARMS HOSPITAL SOUTH, INC.
Entity Type:Organization
Organization Name:SHELTERING ARMS HOSPITAL SOUTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZWEIFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-342-4325
Mailing Address - Street 1:8254 ATLEE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-1844
Mailing Address - Country:US
Mailing Address - Phone:804-342-4358
Mailing Address - Fax:804-342-4316
Practice Address - Street 1:13700 SAINT FRANCIS BLVD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3267
Practice Address - Country:US
Practice Address - Phone:804-342-4358
Practice Address - Fax:804-342-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1927283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010230489Medicaid
VA186000OtherANTHEM
VA59346OtherCARENET
VA330175OtherSOUTHERN HEALTH
VA7975215OtherCIGNA
VAC09821OtherGROUP MEDICARE NUMBER
VA7908734OtherAETNA
VADF0518OtherGROUP MEDICARE NUMBER
VA10010089OtherOPTIMA
VAC09821OtherGROUP MEDICARE NUMBER