Provider Demographics
NPI:1780694372
Name:SENTARA RMH MEDICAL CENTER
Entity type:Organization
Organization Name:SENTARA RMH MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-455-7020
Mailing Address - Street 1:2010 HEALTH CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8679
Mailing Address - Country:US
Mailing Address - Phone:540-689-1200
Mailing Address - Fax:540-689-1220
Practice Address - Street 1:2010 HEALTH CAMPUS DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8679
Practice Address - Country:US
Practice Address - Phone:540-689-1200
Practice Address - Fax:540-689-1220
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENTARA HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-08
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0404X
VAH1891282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4900004Medicaid
PA0008576420002Medicaid
NJ9022601Medicaid
9382OtherSOUTHERN HEALTH
VA4900049OtherSTATE & LOCAL HOSPITALIZA
OH0148254Medicaid
MA1008021Medicaid
AK117908105Medicaid
000013OtherBLUE CROSS / ANTHEM
NY01007212Medicaid
138708OtherKAISER PERMANENTE
VA49-0004-9Medicaid
WV0001513000Medicaid
GA00816109Medicaid
FL091248400Medicaid
SC11204B/10542AMedicaid
MD411855300Medicaid
MD411855300Medicaid
VA49-0004-9Medicaid
WV0001513000Medicaid