NPIMap

Organization Active NPI

Wellmont Health System

Doing business as Norton Community Rehabilitaion Unit

  • Rehabilitation Hospital Unit
  • Norton, VA
National Provider Identifier
1386657161
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
H1879 Issued in VA
Legal business name
WELLMONT HEALTH SYSTEM
Doing business as
Norton Community Rehabilitaion Unit
Practice address
100 15TH St NW
Norton, VA 24273-1616
Phone
(276) 439-1350
Fax
(276) 679-9011
NPI assigned
Aug 14, 2006
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
Rehabilitation Hospital Unit 273Y00000X H1879 VA Primary

Addresses

Primary practice location

100 15TH St NW
Norton, VA 24273-1616

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Phone (276) 439-1350

Other identifiers 3

IdentifierTypeStateIssuer
540566029OtherVACOMMERCIAL
004930207MedicaidVA
007604OtherVABLUE CROSS & BLUE SHIELD

Other names 1

  • Norton Community Rehabilitaion Unit Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other WELLMONT HEALTH SYSTEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706000554 VA Part A Provider - Hospital 2567360704 1 other NPI on this enrollment
Practice locations: Norton, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386657161. Details of each certification follow.

Hospital certification: CCN 49T114

Legal name
WELLMONT HEALTH SYSTEM
Doing business as
NORTON COMMUNITY REHABILITAION UNIT
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1996 in TN
Enrollment address
100 15TH St NW
Norton, VA 24273-1616
Hospital Rehabilitation Unit
Hospital subgroups
General, Rehabilitation 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).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Lonesome Pine HospitalCCN 49T114 · All quality measures
Ownership
Non-profit
Certified
Feb 28, 2021

National Provider Directory

National Provider Directory
Tax ID family
Wellmont Lonesome Pine25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Shane Hilton Individual Corporate OfficerEvp/Cfo Apr 4, 2024
Corporate DirectorEvp/Cfo Apr 4, 2024
Gregory Wilgocki Individual Corporate DirectorSVP Feb 1, 2018
W-2 Managing EmployeeSVP Feb 1, 2018
Wellmont Health System Organization, Kingsport, TN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2007 100%
Ballad Health Organization, Johnson City, TN Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 18, 2018 100%
Marvin Eichorn Individual Corporate OfficerEvp/Cao Feb 1, 2018
Corporate DirectorBoard Member Feb 1, 2018
Buford Deaton Individual Corporate OfficerEvp/Coo Feb 1, 2018
Corporate DirectorBoard Member Feb 1, 2018
Alan Levine Individual Corporate OfficerCeo/President Feb 1, 2018
Corporate DirectorBoard Member Feb 1, 2018
Julie Bennett Individual Corporate OfficerEvp/Clo Feb 1, 2023
Corporate DirectorBoard Member Feb 1, 2023

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 9

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

FacilityTypeRoleSince
Hawkins County Memorial HospitalRogersville, TN, CCN 440032 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 6, 2000
Bristol Regional Medical CenterBristol, TN, CCN 440012 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1996
Lonesome Pine HospitalBig Stone Gap, VA, CCN 490114 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2007
Lonesome Pine Hospital Swing Bed UnitBig Stone Gap, VA, CCN 49U114 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 19, 2007
Dickenson Community Hospital, Inc.Clintwood, VA, CCN 491303 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2021
Greeneville Community HospitalGreeneville, TN, CCN 440050 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 8, 2016
Dickenson Community Hospital Psychiatric UnitClintwood, VA, CCN 49M303 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2021
Norton Community Hospital SNF UnitNorton, VA, CCN 495374 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2007
Apr 1, 2004
Bhrhc DickensonClintwood, VA, CCN 493463 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2021

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1386657161",
    "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": "276-439-1350",
            "fax_number": "276-679-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 15TH ST NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731616",
            "telephone_number": "276-439-1350",
            "fax_number": "276-679-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "VA",
            "license": "H1879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "540566029",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004930207",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "007604",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1340.1",
            "affiliationName": "WELLMONT HEALTH SYSTEM",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "1.5, 1.6",
            "address_1": "100 15th St NW",
            "city": "Norton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242731616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Norton Community Rehabilitaion Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norton Community Rehabilitaion Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.