Basic Information
Provider Information
NPI: 1295140283
EntityType: 2
ReplacementNPI:  
OrganizationName: SENTARA RMH MEDICAL CENTER
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: RMH ORTHOPEDICS DME JMU
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1430
Address2:  
City: HARRISONBURG
State: VA
PostalCode: 228031430
CountryCode: US
TelephoneNumber: 5405647036
FaxNumber:  
Practice Location
Address1: 724 SOUTH MASON STREET
Address2:  
City: HARRISONBURG
State: VA
PostalCode: 22801
CountryCode: US
TelephoneNumber: 5406895500
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/27/2014
LastUpdateDate: 06/27/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: FOSTER
AuthorizedOfficialFirstName: SUSAN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR OF OPERATIONS MEDICAL GRP
AuthorizedOfficialTelephone: 5404334137
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000XH1891VAY SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


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