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Organization Active NPI

Commonwealth of Virginia Catawba Hospital

  • Hospitalist Physician
  • Catawba, VA
National Provider Identifier
1275695256
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL
Practice address
5525 Catawba Hospital Dr
Catawba, VA 24070-2115
Phone
(540) 375-4200
Fax
(540) 375-4249
NPI assigned
Dec 15, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Jack Wood, M.B.A., V.C.O.
Title
Ceo Facilty Director
Phone
(540) 375-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

5525 Catawba Hospital Dr
Catawba, VA 24070-2115

Mailing address

PO Box 200
Catawba, VA 24070-0200
Phone (540) 375-4200

Other identifiers 2

IdentifierTypeStateIssuer
004920040MedicaidVA
010064767OtherVATDO - MEDICAID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1275695256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "CATAWBA",
            "state": "VA",
            "postal_code": "240700200",
            "telephone_number": "540-375-4200",
            "fax_number": "540-395-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 CATAWBA HOSPITAL DR",
            "city": "CATAWBA",
            "state": "VA",
            "postal_code": "240702115",
            "telephone_number": "540-375-4200",
            "fax_number": "540-375-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO FACILTY DIRECTOR",
        "authorized_official_telephone_number": "540-375-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A., V.C.O."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004920040",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDO - MEDICAID",
            "identifier": "010064767",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catawba, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.