Provider Demographics
NPI:1962921239
Name:LEWIS-GALE MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:LEWIS-GALE MEDICAL CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:H
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-776-4125
Mailing Address - Street 1:2706 OGDEN RD
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0600
Mailing Address - Country:US
Mailing Address - Phone:540-776-4000
Mailing Address - Fax:540-776-4785
Practice Address - Street 1:2706 OGDEN RD
Practice Address - Street 2:
Practice Address - City:CAVE SPRING
Practice Address - State:VA
Practice Address - Zip Code:24018-0600
Practice Address - Country:US
Practice Address - Phone:540-776-4000
Practice Address - Fax:540-776-4785
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEWIS-GALE MEDICAL CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care