NPIMap

Organization Active NPI

Johnston Memorial Hospital, Inc

Doing business as Johnston Memorial Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Abingdon, VA
National Provider Identifier
1386028439
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
H1864 Issued in VA
Legal business name
JOHNSTON MEMORIAL HOSPITAL, INC
Doing business as
Johnston Memorial Surgery Center
Practice address
613 Campus Dr
Suite 300
Abingdon, VA 24210-9703
Phone
(276) 258-1480
Fax
(276) 525-1436
NPI assigned
Jul 17, 2015
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Shane Edwin Hilton
Title
Evp/Cfo
Phone
(423) 302-3467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X H1864 VA Primary

Addresses

Primary practice location

613 Campus Dr
Suite 300
Abingdon, VA 24210-9703

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Phone (276) 258-1480

Other names 1

  • Johnston Memorial Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johnston Memorial Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1386028439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PRINCETON RD STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012026",
            "telephone_number": "276-258-1480",
            "fax_number": "276-525-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CAMPUS DR",
            "address_2": "SUITE 300",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109703",
            "telephone_number": "276-258-1480",
            "fax_number": "276-525-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "423-302-3467"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "H1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Memorial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.