Provider Demographics
NPI:1902807936
Name:BATH COUNTY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:BATH COUNTY COMMUNITY HOSPITAL
Other - Org Name:BATH COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:DURNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-839-7137
Mailing Address - Street 1:PO DRAWER Z
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24445
Mailing Address - Country:US
Mailing Address - Phone:540-839-7137
Mailing Address - Fax:540-839-7088
Practice Address - Street 1:106 PARK DRIVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:VA
Practice Address - Zip Code:24445
Practice Address - Country:US
Practice Address - Phone:540-839-7137
Practice Address - Fax:540-839-7088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-01
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH-1827OtherVIRGINIA STATE LIC
VA4900995Medicaid
VA4900995Medicaid
491563Medicare ID - Type Unspecified
497028Medicare ID - Type Unspecified