NPIMap

Organization Active NPI

Essent Healthcare - Waynesburg LLC

Doing business as Southwest Regional Medical Center

  • General Acute Care Hospital
  • Waynesburg, PA
National Provider Identifier
1336294719
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
852101 Issued in PA
Legal business name
ESSENT HEALTHCARE - WAYNESBURG LLC
Doing business as
Southwest Regional Medical Center
Practice address
350 Bonar Ave
Waynesburg, PA 15370-1608
Phone
(724) 627-2645
NPI assigned
Jan 24, 2007
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Stephen L. Page
Title
Vice President
Phone
(615) 844-9849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 852101 PA Primary

Addresses

Primary practice location

350 Bonar Ave
Waynesburg, PA 15370-1608

Mailing address

350 Bonar Ave
Waynesburg, PA 15370-1608
Phone (724) 627-2645

Other identifiers 1

IdentifierTypeStateIssuer
101552558001MedicaidPA

Other names 1

  • Southwest Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upmc Greene5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1336294719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BONAR AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701608",
            "telephone_number": "724-627-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BONAR AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701608",
            "telephone_number": "724-627-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENT HEALTHCARE - WAYNESBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-844-9849"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "852101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101552558001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.