NPIMap

Organization Active NPI

Johnston Memorial Hospital

Doing business as Johnston Memorial Hospital ER Physicians

  • General Acute Care Hospital
  • Abingdon, VA
National Provider Identifier
1033214440
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1864 Issued in VA
Legal business name
JOHNSTON MEMORIAL HOSPITAL
Doing business as
Johnston Memorial Hospital ER Physicians
Practice address
16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Phone
(276) 258-1100
Fax
(276) 258-1125
NPI assigned
Sep 13, 2006
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mr. John L Jeter
Title
Cfo
Phone
(276) 258-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1864 VA Primary

Addresses

Primary practice location

16000 Johnston Memorial Dr
Abingdon, VA 24211-7659

Mailing address

PO Box 1100
Johnson City, TN 37605-1100
Phone (866) 397-1439

Other identifiers 1

IdentifierTypeStateIssuer
142849OtherVABLUE CROSS REF LAB

Other names 1

  • Johnston Memorial Hospital ER Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johnston Memorial Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1033214440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376051100",
            "telephone_number": "866-397-1439",
            "fax_number": "423-431-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117659",
            "telephone_number": "276-258-1100",
            "fax_number": "276-258-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "276-258-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS REF LAB",
            "identifier": "142849",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Memorial Hospital ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.