Provider Demographics
NPI:1356410088
Name:BUCHANAN COUNTY HOSPICE, INC
Entity type:Organization
Organization Name:BUCHANAN COUNTY HOSPICE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:R
Authorized Official - Last Name:EMERICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-935-6655
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:GRUNDY
Mailing Address - State:VA
Mailing Address - Zip Code:24614-0268
Mailing Address - Country:US
Mailing Address - Phone:276-935-5623
Mailing Address - Fax:
Practice Address - Street 1:ROUTE 460
Practice Address - Street 2:ANCHORAGE SHOPPING CENTER
Practice Address - City:VANSANT
Practice Address - State:VA
Practice Address - Zip Code:24656
Practice Address - Country:US
Practice Address - Phone:276-935-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHSP 0697251G00000X
VAHCO 313251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497602Medicare ID - Type UnspecifiedHOME HEALTH
VA491570Medicare ID - Type UnspecifiedHOSPICE