Provider Demographics
NPI:1215151246
Name:VA MEDICAL CENTER
Entity type:Organization
Organization Name:VA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:ARONHALT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:304-263-0811
Mailing Address - Street 1:308 SORREL LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-4757
Mailing Address - Country:US
Mailing Address - Phone:540-667-3562
Mailing Address - Fax:
Practice Address - Street 1:106 HYDE CT
Practice Address - Street 2:
Practice Address - City:STEPHENS CITY
Practice Address - State:VA
Practice Address - Zip Code:22655-3113
Practice Address - Country:US
Practice Address - Phone:540-869-0600
Practice Address - Fax:540-869-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001056349261QV0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA