Provider Demographics
NPI:1225036346
Name:BUCHANAN GENERAL HOSPITAL, INC
Entity type:Organization
Organization Name:BUCHANAN GENERAL HOSPITAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:RUCHTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-935-1000
Mailing Address - Street 1:1535 SLATE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GRUNDY
Mailing Address - State:VA
Mailing Address - Zip Code:24614-6974
Mailing Address - Country:US
Mailing Address - Phone:276-935-1000
Mailing Address - Fax:276-935-1538
Practice Address - Street 1:1535 SLATE CREEK RD
Practice Address - Street 2:
Practice Address - City:GRUNDY
Practice Address - State:VA
Practice Address - Zip Code:24614-6974
Practice Address - Country:US
Practice Address - Phone:276-935-1000
Practice Address - Fax:276-935-1538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1835282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV000302044OtherMTN STATE BCBS
VA007614OtherBLUE CROSS
NC4900127Medicaid
WV0001785000Medicaid
VA148853700OtherFEDERAL BLACKLUNG
AR824666OtherARIZONA MEDICAID
KY01660521Medicaid
VA4901274Medicaid
AR824666OtherARIZONA MEDICAID
KY01660521Medicaid
WV0001785000Medicaid