Dma Behavioral Health Green Oak

LBN: Dickenson Community Hospital, Inc.
Dma Behavioral Health Green Oak is an health care organization with primary practice located at 364 Hospital Dr , Clintwood VA 24228. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as the primary health care specialty. Dickenson Community Hospital, Inc. can be contacted via phone (276) 926-0330, or through Kilgore, Carl via phone (423) 915-5185.

Contact Information

Primary practice address
364 Hospital Dr Clintwood VA 24228
Phone: (276) 926-0330
Fax: (276) 926-0254
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl
Phone: (423) 915-5185

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X

Profile Details

NPI number 1679992358
LBN Legal business name Dickenson Community Hospital, Inc.
DBA Doing business as Dma Behavioral Health Green Oak
Authorized official Kilgore, Carl
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2014
Last updated Jan 9th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679992358 NPPES
Virginia MEDICAID 1871517151
Virginia Other DC7419

Popular Providers