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Contact Information

DICKENSON COMMUNITY HOSPITAL, INC.
364 HOSPITAL DR
CLINTWOOD, VA24228
 Phone: 276-926-0330
 Fax: 276-926-0254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for DICKENSON COMMUNITY HOSPITAL, INC.

NPI Number 1679992358
LBN Legal business name DICKENSON COMMUNITY HOSPITAL, INC.
Authorized official CARL KILGORE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2014
Last updated 05/02/2025 - More than a year ago
Identifiers
VA Medicaid 1871517151
VA Other DC7419 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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