Provider Demographics
NPI:1225009848
Name:TWIN COUNTY REGIONAL HEALTHCARE, INC
Entity type:Organization
Organization Name:TWIN COUNTY REGIONAL HEALTHCARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AVP HOME HEALTH HOSPICE PATIENT CAR
Authorized Official - Prefix:
Authorized Official - First Name:META
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:276-236-7935
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-0070
Mailing Address - Country:US
Mailing Address - Phone:276-236-7935
Mailing Address - Fax:276-238-1815
Practice Address - Street 1:818 GLENDALE ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2227
Practice Address - Country:US
Practice Address - Phone:276-236-7935
Practice Address - Fax:276-238-1815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA001869OtherANTHEM
VA004973020Medicaid
VA004973020Medicaid