Provider Demographics
NPI:1487681771
Name:REGIONAL HEALTH RESOURCES, INC
Entity type:Organization
Organization Name:REGIONAL HEALTH RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-765-2456
Mailing Address - Street 1:373 CECIL D QUILLEN DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DUFFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24244-4085
Mailing Address - Country:US
Mailing Address - Phone:276-431-1638
Mailing Address - Fax:276-431-1639
Practice Address - Street 1:373 CECIL D QUILLEN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:DUFFIELD
Practice Address - State:VA
Practice Address - Zip Code:24244-4085
Practice Address - Country:US
Practice Address - Phone:276-431-1638
Practice Address - Fax:276-431-1639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010081742Medicaid
VA010081742Medicaid