Russell County Psychiatric Unit | |
58 Carroll St Lebanon VA 24266-4510 | |
(276) 883-8000 | |
(276) 883-8250 |
Full Name | Russell County Psychiatric Unit |
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Speciality | Psychiatric Unit |
Location | 58 Carroll St, Lebanon, Virginia |
Authorized Official Name and Position | Mary Lynn Krutak (EVP/CFO) |
Authorized Official Contact | 4233023423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Russell County Psychiatric Unit 311 Princeton Rd Ste 1 Johnson City TN 37601-2026 Ph: (276) 883-8000 | Russell County Psychiatric Unit 58 Carroll St Lebanon VA 24266-4510 Ph: (276) 883-8000 |
NPI Number | 1568649697 |
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Provider Enumeration Date | 01/31/2008 |
Last Update Date | 03/29/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568649697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | H1892 (Virginia) | Primary |
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