NPIMap

Organization Active NPI

Bluefield Regional Medical Center Inc

Doing business as Bluefield Internal Medicine

  • Rural Health Clinic/Center
  • Bluefield, VA
National Provider Identifier
1184890808
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BLUEFIELD REGIONAL MEDICAL CENTER INC
Doing business as
Bluefield Internal Medicine
Practice address
2111 College Ave
Bluefield, VA 24605-2002
Phone
(276) 322-4661
Fax
(276) 322-4663
NPI assigned
May 2, 2008
Last updated
Aug 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BLUEFIELD REGIONAL MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Sharon Lynn Whitteker
Title
Ceo
Phone
(304) 327-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2111 College Ave
Bluefield, VA 24605-2002

Mailing address

2111 College Ave
Bluefield, VA 24605-2002

Other identifiers 3

IdentifierTypeStateIssuer
0001209004MedicaidWV
460110OtherVAANTHEM (BCBS OF VIRGINIA)
000706715OtherWVMT STATE BLUE CROSS BLUE SHIELD

Other names 1

  • BLUEFIELD INTERNAL MEDICINE Doing business as

National Provider Directory

National Provider Directory
Part of
Joseph T Ascue MD

Locations

510 Cherry St
Ste 301
Bluefield, WV 24701
Phone (304) 325-7203

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1184890808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052002",
            "telephone_number": "276-322-4661",
            "fax_number": "276-322-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEFIELD REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUEFIELD REGIONAL MEDICAL CENTER INC",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "WHITTEKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-327-1100"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001209004",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (BCBS OF VIRGINIA)",
            "identifier": "460110",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE BLUE CROSS BLUE SHIELD",
            "identifier": "000706715",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUEFIELD INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.