Pennington Gap Hma Inc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

PENNINGTON GAP HMA INC

Practice address

West Morgan Avenue
Pennington Gap, VA 24277

Phone

(276) 546-1440

NPI assigned

Jun 9, 2006

Organization subpart

No

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) 598-3167

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lee Regional Medical Center Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083655294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEST MORGAN AVENUE",
            "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 AVENUE",
            "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": "2006-06-09",
        "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": "239-598-3167",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  VA",
            "identifier": "442170",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnathan Oxford
• Chelsey Parsons, PHARMD
• Patrick a. Molony, MD PA
• Pennington Drug Center Inc
• Pennington Gap Hma Inc
• Pennington Gap Hma Inc
• Pennington Gap Hma Inc
• Pennington Gap Hma Physician Management Inc
• Physician Management Services of Virginia, LLC
• Stephanie Purvis, NP

• Rehabilitation Hospital Unit in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• Rehabilitation Hospital Unit in Virginia

• 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.