NPIMap

Organization Active NPI

Lewisgale Medical Center, LLC

  • Emergency Care Clinic/Center
  • Roanoke, VA
National Provider Identifier
1396483178
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
LEWISGALE MEDICAL CENTER, LLC
Practice address
1423 W Ruritan Rd
Roanoke, VA 24012-6715
Phone
(540) 945-9900
NPI assigned
May 23, 2022
Organization subpart
Yes
Parent organization
LEWISGALE MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Angela Hoke Reynolds
Title
Cfo
Phone
(540) 776-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

1423 W Ruritan Rd
Roanoke, VA 24012-6715

Mailing address

1423 W Ruritan Rd
Roanoke, VA 24012-6715
Phone (540) 945-9900

Other names 1

  • Blue Hills FSED Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis-Gale Medical Center LLC11 organizations share this tax ID, including this one
Part of
Lewis-Gale Medical Center LLC

Other organizations with this tax ID 10

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

Locations

1423 W Ruritan Rd
Roanoke, VA 24012
Phone (540) 945-9900

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1396483178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 W RURITAN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126715",
            "telephone_number": "540-945-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 W RURITAN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126715",
            "telephone_number": "540-945-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISGALE MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWISGALE MEDICAL CENTER, LLC",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "HOKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-776-4125"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Hills FSED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.