NPIMap

Organization Active NPI

Augusta Health Care, Inc

  • Psychiatric Hospital Unit
  • Fishersville, VA
National Provider Identifier
1295708287
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
AUGUSTA HEALTH CARE, INC
Practice address
78 Medical Center Dr
Fishersville, VA 22939-2332
Phone
(540) 932-4000
Fax
(540) 932-4616
NPI assigned
Feb 9, 2006
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AUGUSTA HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
William J Meador
Title
VP, Cfo
Phone
(540) 932-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

78 Medical Center Dr
Fishersville, VA 22939-2332

Mailing address

PO Box 1000
Fishersville, VA 22939-1000
Phone (540) 932-4614

Other identifiers 1

IdentifierTypeStateIssuer
4900189MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071101000352 VA Part A Provider - Hospital 1355248212 Practice locations: Fishersville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295708287. Details of each certification follow.

Hospital certification: CCN 49S018

Legal name
AUGUSTA HEALTH CARE INC
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1994 in VA
Enrollment address
78 Medical Center Dr
Fishersville, VA 22939-2332
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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).

National Provider Directory

National Provider Directory
Tax ID family
Waynesboro Comm Hosp PH12 organizations share this tax ID, including this one
Part of
Waynesboro Comm Hosp PH

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Scott Crabtree Individual Corporate Officer Aug 16, 2010
W-2 Managing Employee Aug 16, 2010
William J Meador Individual Corporate Officer May 22, 2023
W-2 Managing Employee May 22, 2023
Mary Mannix Individual Corporate OfficerCeo Mar 18, 2008
W-2 Managing EmployeeCeo Mar 18, 2008

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Augusta Health Care IncFishersville, VA, CCN 495214 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Jul 16, 1990
Jul 16, 1990
Karolwood Gardens RichmondHenrico, VA, CCN 495428 Skilled nursing facility Adp of the SNF Jun 1, 2021
Augusta Health Maury River Family PracticeGlasgow, VA, CCN 498934 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2008
Augusta Health Primary Care LexingtonLexington, VA, CCN 498935 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2008

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1295708287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229391000",
            "telephone_number": "540-932-4614",
            "fax_number": "540-932-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392332",
            "telephone_number": "540-932-4000",
            "fax_number": "540-932-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUGUSTA HEALTH CARE, INC",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "540-932-4800"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4900189",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.