| Lewisgale Medical Center | |
|
1902 Braeburn Dr Salem VA 24153-7304 | |
| (540) 776-4000 | |
| Not Available |
| Full Name | Lewisgale Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1902 Braeburn Dr, Salem, Virginia |
| Authorized Official Name and Position | Angela Reynolds (CFO) |
| Authorized Official Contact | 5407764125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewisgale Medical Center 1900 Electric Rd Salem VA 24153-7474 Ph: (540) 776-4000 | Lewisgale Medical Center 1902 Braeburn Dr Salem VA 24153-7304 Ph: (540) 776-4000 |
| NPI Number | 1528005691 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 9931097813 |
|---|---|
| Medicare Enrollment ID | O20070822000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528005691 | NPI | - | NPPES |
| 240413 | Other | VA | WELLPOINT |
| 323432 | Other | MAMSI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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