Commonwealth of Virginia Western State Hospital

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL

Practice address

103 Valley Center Dr
Staunton, VA 24401-5080

Phone

(540) 332-8000

NPI assigned

Apr 18, 2006

Last updated

Feb 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan C Anderson, M.D.

Title

Hospital Director

Phone

(540) 332-8200

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346205069. Details of each certification follow.

• CCN 494021 Hospital · Active · Details

Hospital certification: CCN 494021

Legal name

COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Jul 1, 1984

Last certification

Apr 27, 2007

Beds

246 (84 certified)

Ownership / control type

State

Organization structure

OtherProprietary

Enrollment address

103 Valley Center Drive
Staunton, VA 24401
Other Hospital Practice Location

Hospital subgroups

Acute care, Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Commonwealth of Virginia Western State Hospital

  • Psychiatric Hospital
  • Staunton, VA
  • NPI 1538124433

  O20050126000181

  Same enrollment

Listed as

Western State HospitalCCN 494021 · All quality measures

Type

Psychiatric

Ownership

Government - State

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1346205069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2500",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244022500",
            "telephone_number": "540-332-8200",
            "fax_number": "540-332-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 VALLEY CENTER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015080",
            "telephone_number": "540-332-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "HOSPITAL DIRECTOR",
        "authorized_official_telephone_number": "540-332-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004941063",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010064830",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "0000000007816",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Center for Children and Adolescents
• Commonwealth of Virginia State Board of Health (Staunton Augusta Health Department)
• Commonwealth of Virginia State Board of Health (Staunton Augusta Health Department)
• Commonwealth of Virginia Western State Hospital
• Commonwealth of Virginia Western State Hospital
• Commonwealth of Virginia Western State Hospital
• Commonwealth of Virginia Western State Hospital
• Comprehensive Health Systems,PLC (Comprehensive Behavioral Health)
• Connected Community Living LLC
• Continuing Care

• Psychiatric Hospital in Staunton, VA
• Providers in Staunton, VA by specialty
• Psychiatric Hospital in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.