NPIMap

Organization Active NPI

Pennington Gap Hma Inc

Doing business as Lee Regional Medical Center

  • General Acute Care Hospital
  • Pennington Gap, VA
National Provider Identifier
1033159728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1867 Issued in VA
Legal business name
PENNINGTON GAP HMA INC
Doing business as
Lee Regional Medical Center
Practice address
West Morgan Ave
Pennington Gap, VA 24277
Phone
(276) 546-1440
NPI assigned
Jun 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Parry, ESQ
Title
Sr VP and General Counsel
Phone
(239) 598-3176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1867 VA Primary

Addresses

Primary practice location

West Morgan Ave
Pennington Gap, VA 24277

Mailing address

West Morgan Ave
PO Box 70
Pennington Gap, VA 24277
Phone (276) 546-1440

Other identifiers 1

IdentifierTypeStateIssuer
442170OtherVABLUE CROSS

Other names 1

  • Lee Regional Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033159728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEST MORGAN AVE",
            "address_2": "PO BOX 70",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "24277",
            "telephone_number": "276-546-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST MORGAN AVE",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "24277",
            "telephone_number": "276-546-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON GAP HMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SR VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "239-598-3176",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "442170",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pennington Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.