Provider Demographics
NPI:1750381901
Name:ROCKBRIDGE AREA HOSPICE, INC
Entity type:Organization
Organization Name:ROCKBRIDGE AREA HOSPICE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:SYLVEST
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-460-4671
Mailing Address - Street 1:315 MYERS STREET
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450
Mailing Address - Country:US
Mailing Address - Phone:540-463-1848
Mailing Address - Fax:540-463-5219
Practice Address - Street 1:315 MYERS ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2040
Practice Address - Country:US
Practice Address - Phone:540-463-1848
Practice Address - Fax:540-463-5219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004915160Medicaid
VA337449OtherANTHEM PROVIDER NUMBER
VA491516Medicare Oscar/Certification