Provider Demographics
NPI:1154465250
Name:PIEDMONT GERIATRIC HOSPITAL
Entity type:Organization
Organization Name:PIEDMONT GERIATRIC HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-767-4922
Mailing Address - Street 1:5001 EAST PATRICK HENRY HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:BURKEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23922
Mailing Address - Country:US
Mailing Address - Phone:434-767-4922
Mailing Address - Fax:434-767-4935
Practice Address - Street 1:5001 EAST PATRICK HENRY HIGHWAY
Practice Address - Street 2:
Practice Address - City:BURKEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23922-0427
Practice Address - Country:US
Practice Address - Phone:434-767-4922
Practice Address - Fax:434-767-4935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital