Provider Demographics
NPI:1417989278
Name:BATH COUNTY COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:BATH COUNTY COMMUNITY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINGERFELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-839-7123
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:540-839-7000
Mailing Address - Fax:540-839-7172
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:2006-07-06
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1827282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH1827OtherGENERAL HOSPITAL LICENSE
VA49-0099-5Medicaid
VA0810370001Medicare PIN
VAH1827OtherGENERAL HOSPITAL LICENSE
VA491300Medicare Oscar/Certification
VA49Z300Medicare Oscar/Certification
VAC02270Medicare ID - Type UnspecifiedTRAILBLAZER HEALTH
VA49-0099-5Medicaid