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Smyth County Community Hospital

Organization Active NPI Rehabilitation Hospital Unit · Marion, VA

NPI 1134448541 · NPPES record last updated Apr 16, 2024

Key facts

NPI
1134448541
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital Unit 273Y00000X
Legal business name
SMYTH COUNTY COMMUNITY HOSPITAL
Practice address
245 Medical Park Dr
Marion, VA 24354-1100
Phone
(276) 378-1000
Fax
(276) 378-1205
NPI assigned
May 25, 2010
Organization subpart
No

Authorized official

Name
Shane Edwin Hilton
Title
Evp/Cfo
Phone
(423) 302-3467

Owners & managing parties with NPI records 21

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 41

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 41

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Smyth County Community Hospital CCN 49T038
Ownership
Non-profit
Certified
Jul 1, 2011

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Hospital certification: CCN 49T038

Legal name
SMYTH COUNTY COMMUNITY HOSPITAL
Doing business as
SOUTHWEST VIRGINIA INPATIENT REHAB
Organization structure
Corporation · Non-profit
Incorporated
Dec 12, 1961 in VA
Enrollment address
245 Medical Park Dr
Marion, VA 24354-6587
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shane Hilton
Individual 		Corporate Officer
Evp/Cfo		 Apr 4, 2024
Corporate Director
Evp/Cfo		 Apr 4, 2024
Gregory Wilgocki
Individual 		Corporate Director
SVP		 Feb 1, 2018
W-2 Managing Employee
SVP		 Feb 1, 2018
Ballad Health
Organization · Johnson City, TN
Corporation, Non-profit 		5% Or Greater Indirect Ownership Interest Feb 1, 2018 100%
Marvin Eichorn
Individual 		Corporate Officer
Evp/Cao		 Feb 1, 2018
Corporate Director
Board Member		 Feb 1, 2018
Mountain States Health Alliance
Organization · Johnson City, TN
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Nov 10, 2021 100%
Buford Deaton
Individual 		Corporate Officer
Evp/Coo		 Feb 1, 2018
Corporate Director
Board Member		 Feb 1, 2018
Alan Levine
Individual 		Corporate Officer
Ceo/President		 Feb 1, 2018
Corporate Director
Board Member		 Feb 1, 2018
Julie Bennett
Individual 		Corporate Officer
Evp/Clo		 Feb 1, 2023
Corporate Director
Board Member		 Feb 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120607000356 VA Part a Provider - Hospital 0446168496 Practice locations: Marion, VA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X VA Yes

Addresses

Primary practice location

245 Medical Park Dr
Marion, VA 24354-1100

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Phone (276) 378-1000

Other names

  • Southwest Virginia Inpatient Rehabilitaion Unit Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other Smyth County Community Hospital

Other providers in Marion, VA

All providers in Marion, VA · Rehabilitation Hospital Unit in Virginia

Sources for this page

Verify at the official NPI Registry.