NPIMap

Organization Active NPI

Bedford Memorial Hospital

  • General Acute Care Hospital
  • Bedford, VA
National Provider Identifier
1295728491
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H 1828 Issued in VA
Legal business name
BEDFORD MEMORIAL HOSPITAL
Practice address
1613 Oakwood St
Bedford, VA 24523-1213
Phone
(540) 586-2441
Fax
(540) 224-5507
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Mrs. Rebecca H Johnson
Title
Director, Professional Billing
Phone
(540) 224-5715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H 1828 VA Primary

Addresses

Primary practice location

1613 Oakwood St
Bedford, VA 24523-1213

Mailing address

PO Box 13966
Roanoke, VA 24038-3966
Phone (540) 586-2441

Other identifiers 7

IdentifierTypeStateIssuer
007656OtherVAANTHEM
146322OtherVASOUTHERN HEALTH
169543000OtherVAWEST VIRGINIA MEDICAID
0000844OtherVASLH
354365000OtherVAMAGELLAN
4900880MedicaidVA
030589500OtherVABLACK LUNG

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117000682 VA Part A Provider - Hospital 3678482700 Practice locations: Bedford, VA

Hospital certification: CCN 490088

Legal name
BEDFORD MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 1, 2012
Beds
161
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 27, 1950 in VA
Enrollment address
1613 Oakwood St
Bedford, VA 24523-1213
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Centra Bedford Memorial HospitalCCN 490088
Overall star rating
5 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
Tax ID family
Bedford Memorial Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Robert Tonkinson Individual Corporate Officer Jan 1, 2025
Mary Zirkle Individual Other May 14, 2020
Hilary F Basham Individual Corporate Director Jan 1, 2024
David Senenig Individual Other May 14, 2020
Rhetta Watkins Individual Corporate Officer Jan 1, 2022
Cynthia D Gunnoe Individual Corporate Officer Jan 1, 2016
April Cheek-Messier Individual Corporate Director Jan 1, 2026
Bedford Memorial Hospital Organization, Lynchburg, VA Non-profit 5% Or Greater Direct Ownership Interest May 23, 2014 100%
Timothy L Hayden Individual Corporate Officer Jan 1, 2016
Richard J Tugman Individual Corporate Officer Jan 1, 2025
Janice Elaine Luth Individual Corporate Officer Jan 1, 2016
Timothy Fritz Individual W-2 Managing EmployeeController May 30, 2019
Denny Huff Individual Corporate Officer Jan 1, 2022

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 333

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

View all 333

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1295728491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13966",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240383966",
            "telephone_number": "540-586-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 OAKWOOD ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231213",
            "telephone_number": "540-586-2441",
            "fax_number": "540-224-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR, PROFESSIONAL BILLING",
        "authorized_official_telephone_number": "540-224-5715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H 1828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "007656",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "146322",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA MEDICAID",
            "identifier": "169543000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLH",
            "identifier": "0000844",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "354365000",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4900880",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "030589500",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.