Provider Demographics
NPI:1922632298
Name:BATH COUNTY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:BATH COUNTY COMMUNITY HOSPITAL
Other - Org Name:BATH COMMUNITY PHYSICIANS GROUP RIVERSIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINGERFELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-839-7123
Mailing Address - Street 1:PO DRAWER Z
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24445-0750
Mailing Address - Country:US
Mailing Address - Phone:540-839-7175
Mailing Address - Fax:540-839-7070
Practice Address - Street 1:322 W RIVERSIDE ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-1219
Practice Address - Country:US
Practice Address - Phone:540-962-1122
Practice Address - Fax:540-962-7881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BATH COUNTY COMMUNITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-26
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty