Basic Information
| Provider Information | |||||||||
| NPI: | 1881631943 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SHELTERING ARMS HOSPITAL SOUTH, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8254 ATLEE RD | ||||||||
| Address2: | |||||||||
| City: | MECHANICSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 231161844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043424358 | ||||||||
| FaxNumber: | 8043424316 | ||||||||
| Practice Location | |||||||||
| Address1: | 13700 SAINT FRANCIS BLVD | ||||||||
| Address2: | |||||||||
| City: | MIDLOTHIAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 231143267 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043424358 | ||||||||
| FaxNumber: | 8043424316 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2006 | ||||||||
| LastUpdateDate: | 03/23/2016 | ||||||||
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| AuthorizedOfficialLastName: | ZWEIFEL | ||||||||
| AuthorizedOfficialFirstName: | MARY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT AND CEO | ||||||||
| AuthorizedOfficialTelephone: | 8043424325 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283X00000X | H1927 | VA | Y | Hospitals | Rehabilitation Hospital |
ID Information
| ID | Type | State | Issuer | Description | 010230489 | 05 | VA | MEDICAID | 186000 | 01 | VA | ANTHEM | OTHER | 59346 | 01 | VA | CARENET | OTHER | 330175 | 01 | VA | SOUTHERN HEALTH | OTHER | 7975215 | 01 | VA | CIGNA | OTHER | C09821 | 01 | VA | GROUP MEDICARE NUMBER | OTHER | 7908734 | 01 | VA | AETNA | OTHER | DF0518 | 01 | VA | GROUP MEDICARE NUMBER | OTHER | 10010089 | 01 | VA | OPTIMA | OTHER |