| Halifax Regional Hospital, Inc | |
|
101 Aubreys Loop South Boston VA 24592-5054 | |
| (434) 517-3879 | |
| Not Available |
| Full Name | Halifax Regional Hospital, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Aubreys Loop, South Boston, Virginia |
| Authorized Official Name and Position | Robert A Broermann (CFO) |
| Authorized Official Contact | 7574557020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halifax Regional Hospital, Inc 2204 Wilborn Ave South Boston VA 24592-1645 Ph: (757) 455-7395 | Halifax Regional Hospital, Inc 101 Aubreys Loop South Boston VA 24592-5054 Ph: (434) 517-3879 |
| NPI Number | 1023627486 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Medicare PECOS PAC ID | 4587572805 |
|---|---|
| Medicare Enrollment ID | O20201112003411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023627486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Sentara Gynecology Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2206 Wilborn Ave, Medical Office Building #1, South Boston, VA 24592 Phone: 434-517-8627 | |
Halifax Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1129 N Main St Ste Huc, South Boston, VA 24592 Phone: 336-583-5233 | |
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