NPIMap

Organization Active NPI

Russell County Medical Center Inc

Doing business as Russell County Medical Center Home Health

  • Home Health Agency
  • Lebanon, VA
National Provider Identifier
1043277007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RUSSELL COUNTY MEDICAL CENTER INC
Doing business as
Russell County Medical Center Home Health
Practice address
116 Flanagan Ave
Suite C
Lebanon, VA 24266-4514
Phone
(276) 883-8484
Fax
(276) 883-8495
NPI assigned
Apr 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
RUSSELL COUNTY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Karen J Fields, RN
Title
Administrator
Phone
(276) 883-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VA Primary

Addresses

Primary practice location

116 Flanagan Ave
Suite C
Lebanon, VA 24266-4514

Mailing address

PO Box 3600
Suite C
Lebanon, VA 24266-0200
Phone (276) 883-8484

Other identifiers 1

IdentifierTypeStateIssuer
4970632MedicaidVA

Other names 1

  • RUSSELL COUNTY MEDICAL CENTER HOME HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain States Psychia41 organizations share this tax ID, including this one
Part of
Russell County Medical GRP

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043277007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3600",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242660200",
            "telephone_number": "276-883-8484",
            "fax_number": "276-883-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FLANAGAN AVE",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664514",
            "telephone_number": "276-883-8484",
            "fax_number": "276-883-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL COUNTY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSSELL COUNTY MEDICAL CENTER INC",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-883-8484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4970632",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSSELL COUNTY MEDICAL CENTER HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.