NPIMap

Organization Active NPI

Patrick Hospital, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Stuart, VA
National Provider Identifier
1073767679
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PATRICK HOSPITAL, LLC
Practice address
18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone
(276) 694-8678
Fax
(276) 694-8655
NPI assigned
Nov 10, 2008
Last updated
Dec 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Mrs. Janice F Wilkins
Title
Administrator
Phone
(276) 694-8678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

18688 Jeb Stuart Hwy
Stuart, VA 24171-1559

Mailing address

18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone (276) 694-8678

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1073767679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18688 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711559",
            "telephone_number": "276-694-8678",
            "fax_number": "276-694-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18688 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711559",
            "telephone_number": "276-694-8678",
            "fax_number": "276-694-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-694-8678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.