Provider Demographics
NPI:1205937083
Name:AUGUSTA HEALTH CARE, INC
Entity type:Organization
Organization Name:AUGUSTA HEALTH CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEERING
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:540-932-4000
Mailing Address - Street 1:1 GREEN HILL DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:VA
Mailing Address - Zip Code:24482-2654
Mailing Address - Country:US
Mailing Address - Phone:540-213-1201
Mailing Address - Fax:540-213-1204
Practice Address - Street 1:1 GREEN HILL DR
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:VA
Practice Address - Zip Code:24482-2654
Practice Address - Country:US
Practice Address - Phone:540-213-1201
Practice Address - Fax:540-213-1204
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUGUSTA HEALTH CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-26
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty