| Russell County Medical Center | |
|
58 Carroll Street Lebanon VA 24266 | |
| (276) 883-8000 | |
| (276) 889-4336 |
| Full Name | Russell County Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 58 Carroll Street, Lebanon, Virginia |
| Authorized Official Name and Position | David Miller (VP, COMMUNITY HEALTH SYSTEMS) |
| Authorized Official Contact | 8883739600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell County Medical Center Po Box 198250 Atlanta GA 30384-8250 Ph: () - | Russell County Medical Center 58 Carroll Street Lebanon VA 24266 Ph: (276) 883-8000 |
| NPI Number | 1871599308 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871599308 | NPI | - | NPPES |
| 007676 | Other | VA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 09704001 (Virginia) | Primary |
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