Basic Information
| Provider Information | |||||||||
| NPI: | 1427694017 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SHELTERING ARMS HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8245 ATLEE ROAD | ||||||||
| Address2: | |||||||||
| City: | MECHANICSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047641001 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6627 W BROAD ST STE 100 | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232301733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047641001 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2019 | ||||||||
| LastUpdateDate: | 05/18/2021 | ||||||||
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| AuthorizedOfficialLastName: | GLASGOW | ||||||||
| AuthorizedOfficialFirstName: | JOEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER OF CORPORATE FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 8047645242 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CPA | ||||||||
| NPICertificationDate: | 05/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
No ID Information.