Buchanan General Hospital
Organization Active NPI Primary Care Clinic/Center · Grundy, VA
NPI 1013221597 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1013221597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- BUCHANAN GENERAL HOSPITAL
- Practice address
- 28567 Riverside Drive
Grundy, VA 24614 - Phone
- (276) 935-1167
- Fax
- (276) 935-1219
- NPI assigned
- Jul 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Joan Jamison
- Title
- Ceo
- Phone
- (276) 935-1167
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 8
Practitioners 11
-
Angela Horn, FNP
-
Freda Y Powers, FNP
-
Sainath Gaddam, MBBS, MD
-
Linda A Davidson, FNP
-
Misty Justus, PA
-
Brenda Faye Goodman, FNP
-
Amjad Husain, MD
-
Inderneel Sahai, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040722000099 | VA | Part B Supplier - Clinic/Group Practice | 4688581663 |
Receives reassigned benefits from 16 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grundy, VA; Virginia Beach, VA |
National Provider Directory
- Tax ID family
- Jaitly Rakesh MD
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/buchgen-7056bd27
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | VA | Yes |
Addresses
Primary practice location
28567 Riverside Drive
Grundy, VA 24614
Mailing address
1535 Slate Creek Road
Grundy, VA 24614
Phone (276) 935-1167
Other providers in Grundy, VA
- Bio-Medical Applications of Virginia, Inc.
- Justin C Blackburn
- Kayla Blackburn
- Kiley Bowen
- Buchanan County Public Schools
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
All providers in Grundy, VA · Primary Care Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.