NPIMap

Organization Active NPI

Montgomery Regional Hospital Inc

Doing business as Lewisgale Hospital Montgomery

  • General Acute Care Hospital
  • Blacksburg, VA
National Provider Identifier
1275570376
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MONTGOMERY REGIONAL HOSPITAL INC
Doing business as
Lewisgale Hospital Montgomery
Practice address
3700 S Main St
Blacksburg, VA 24060-7017
Phone
(540) 951-1111
Fax
(540) 953-5295
NPI assigned
May 31, 2006
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Rachael Stanton
Title
Cfo
Phone
(540) 953-5155

Specialties & licenses 1

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

Addresses

Primary practice location

3700 S Main St
Blacksburg, VA 24060-7017

Mailing address

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

Other identifiers 12

IdentifierTypeStateIssuer
148836900OtherDEPT OF LABOR
030206700OtherBLACK LUNG
004901100MedicaidVA
109351OtherNCPPO
0168025000MedicaidWV
036964700MedicaidDC
007618OtherVAWELLPOINT
091834200MedicaidFL
223903OtherALLIANCE
268565OtherVAWELLPOINT
000174545XMedicaidGA
1601236MedicaidKY

Other names 1

  • LEWISGALE HOSPITAL MONTGOMERY Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address LGMONTGOMERY.COCZR.VAB@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000023 VA Part A Provider - Hospital 5092617449 Practice locations: Blacksburg, VA; Christiansburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275570376. Details of each certification follow.

Hospital certification: CCN 490110

Legal name
MONTGOMERY REGIONAL HOSPITAL, INC.
Doing business as
LEWISGALE HOSPITAL MONTGOMERY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 29, 1971
Last certification
Jun 28, 2017
Beds
146
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jul 27, 1970 in VA
Enrollment address
3700 South Main Street
Blacksburg, VA 24060-7017
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Lewisgale Hospital MontgomeryCCN 490110 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

813 Davis St
Blacksburg, VA 24060
Phone (540) 443-9900

1145 W Main St
Christiansburg, VA 24073
Phone (520) 251-8900

8 Radford St
Christiansburg, VA 24073
Phone (304) 320-0663

Interoperability endpoints

  • Direct secure messaging: lgmontgomery.coczr.vab@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
Michael McAlevey Individual Corporate Officer Feb 1, 2022
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 26, 2011 100%
John M Franck Individual Corporate Director May 31, 2007
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 25, 2011 100%
Henry Todd Maxwell Individual Corporate OfficerVP Jan 1, 2024
Christopher F Wyatt Individual Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Director Jan 1, 2010
John M Hackett Individual Corporate Officer Apr 18, 2016
William Wilburn Lunn Individual Corporate Officer Jan 1, 2023
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 23, 2016 20%
Samuel N Hazen Individual Corporate Director Aug 18, 2011
Rachael Stanton Individual Corporate OfficerHospital Cfo Jan 6, 2024
W-2 Managing EmployeeHospital Cfo Jan 6, 2024
Ronald Lee Grubbs Individual Corporate Director Jan 1, 2010
Monica Cintado Individual Corporate Officer Oct 7, 2019
Jon Foster Individual Corporate Officer Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 25, 2011 100%
Dustin J Fosness Individual Corporate Officer Feb 1, 2026
Seth a Killingbeck Individual Corporate Officer Aug 10, 2012
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Michael T Bray Individual Corporate Director Jan 1, 2010
Matthew R Favicchio Individual Corporate Officer Sep 5, 2025
Peter J Rossell Individual Corporate Officer Jan 1, 2023
Timothy M McManus Individual Corporate Officer Aug 1, 2016
Frisco Holding II Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 26, 2011 10.6%
Michael a Marks Individual Corporate Officer Sep 5, 2025
Edwin W Robinson Individual Corporate Officer Sep 5, 2025
Brad Ej Spicer Individual Corporate Officer Jan 1, 2023
Hti Hospital Holdings Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Direct Ownership Interest May 31, 2007 100%
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Director Jan 1, 2010
Russell Young Individual Corporate Officer Jan 1, 2023

Facilities with the same owner 191

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

View all 191

Practitioners & affiliated clinicians

Practitioners 4

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 355

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

View all 355

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1275570376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-951-1111",
            "fax_number": "540-953-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-951-1111",
            "fax_number": "540-953-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY REGIONAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-953-5155"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "148836900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "030206700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004901100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "109351",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168025000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036964700",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPOINT",
            "identifier": "007618",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091834200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "223903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPOINT",
            "identifier": "268565",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000174545X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1601236",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LGMONTGOMERY.COCZR.VAB@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "3700 S Main St",
            "city": "Blacksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240607017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LEWISGALE HOSPITAL MONTGOMERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEWISGALE HOSPITAL MONTGOMERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.