Provider Demographics
NPI: | 1679369482 |
---|---|
Name: | WINCHESTER MEDICAL CENTER |
Entity type: | Organization |
Organization Name: | WINCHESTER MEDICAL CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER INSURANCE CREDENTIALING |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JILL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CHAMBERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 540-536-0231 |
Mailing Address - Street 1: | 220 CAMPUS BLVD STE 320 |
Mailing Address - Street 2: | |
Mailing Address - City: | WINCHESTER |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 22601-2889 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 540-536-5100 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1870 AMHERST ST STE C |
Practice Address - Street 2: | |
Practice Address - City: | WINCHESTER |
Practice Address - State: | VA |
Practice Address - Zip Code: | 22601-2841 |
Practice Address - Country: | US |
Practice Address - Phone: | 540-536-0153 |
Practice Address - Fax: | 540-536-0154 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | WINCHESTER MEDICAL CENTER |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2025-04-17 |
Last Update Date: | 2025-04-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty |