Provider Demographics
NPI:1881667863
Name:AUGUSTA HEALTH CARE, INC
Entity Type:Organization
Organization Name:AUGUSTA HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-932-4800
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-1000
Mailing Address - Country:US
Mailing Address - Phone:540-932-4000
Mailing Address - Fax:540-932-4616
Practice Address - Street 1:78 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2332
Practice Address - Country:US
Practice Address - Phone:540-932-4000
Practice Address - Fax:540-932-4616
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUGUSTA HEALTH CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-09
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004900189Medicaid
VA004900189Medicaid