NPIMap

Organization Active NPI

Buchanan General Hospital, Inc

  • General Acute Care Hospital
  • Grundy, VA
National Provider Identifier
1225036346
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1835 Issued in VA
Legal business name
BUCHANAN GENERAL HOSPITAL, INC
Practice address
1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone
(276) 935-1000
Fax
(276) 935-1538
NPI assigned
Jul 12, 2005
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Mr. Robert D Ruchti
Title
Ceo
Phone
(276) 935-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1835 VA Primary

Addresses

Primary practice location

1535 Slate Creek Rd
Grundy, VA 24614-6974

Mailing address

1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000

Other identifiers 8

IdentifierTypeStateIssuer
000302044OtherWVMTN STATE BCBS
01660521MedicaidKY
4900127MedicaidNC
148853700OtherVAFEDERAL BLACKLUNG
4901274MedicaidVA
0001785000MedicaidWV
007614OtherVABLUE CROSS
824666OtherARARIZONA MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070628000294 VA Part A Provider - Hospital 4688581663 Practice locations: Grundy, VA
O20210907002338 VA Part A Provider - Hospital 4688581663 Practice locations: Grundy, VA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1225036346. Details of each certification follow.

Hospital certification: CCN 490127

Legal name
BUCHANAN GENERAL HOSPITAL INC.
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 5, 1979
Last certification
Jul 11, 2012
Beds
134
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Feb 25, 1971 in VA
Enrollment address
1535 Slate Creek Rd
Grundy, VA 24614-6974
Other Hospital Practice Location
Hospital subgroups
Acute care

Hospital certification: CCN 49U127

Legal name
BUCHANAN GENERAL HOSPITAL INC.
Organization structure
CorporationNon-profit
Incorporated
Feb 25, 1971 in VA
Enrollment address
1535 Slate Creek Rd
Grundy, VA 24614-6974
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Buchanan General HospitalCCN 490127 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Harold Musick Individual Corporate Director Oct 13, 2013
Danny Elswick Individual Corporate Director Apr 6, 2004
Mary Ruth Spencer Individual Corporate Director Dec 1, 2009
Tommy Roger Coleman Individual Corporate Director Jan 1, 2011
Willis Smith Individual Corporate Director Jan 1, 2012
David W Tolliver Individual Corporate Director Sep 1, 2011
Robert Ruchti Individual W-2 Managing EmployeeCeo Dec 28, 2011
W-2 Managing EmployeeCeo Mar 15, 2013
James Wayne Childress Individual Corporate Director Jan 1, 2010
Bradley D Vandyke Individual Corporate Director Feb 28, 2019

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 78

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

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1225036346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 SLATE CREEK RD",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146974",
            "telephone_number": "276-935-1000",
            "fax_number": "276-935-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 SLATE CREEK RD",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146974",
            "telephone_number": "276-935-1000",
            "fax_number": "276-935-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHANAN GENERAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "RUCHTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-935-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN STATE BCBS",
            "identifier": "000302044",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660521",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4900127",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACKLUNG",
            "identifier": "148853700",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4901274",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001785000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "007614",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAID",
            "identifier": "824666",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy, VA

Sources for this page

Verify at the official NPI Registry.