NPIMap

Organization Active NPI

Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
National Provider Identifier
1427085232
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1913 Issued in VA
Legal business name
WARREN MEMORIAL HOSPITAL, INC.
Practice address
1000 North Shenandoah Ave
Front Royal, VA 22630-3547
Phone
(540) 636-0300
Fax
(540) 636-0198
NPI assigned
Jun 27, 2006
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Jill Chambers
Title
MGR Ins Credentialing
Phone
(540) 536-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1913 VA Primary

Addresses

Primary practice location

1000 North Shenandoah Ave
Front Royal, VA 22630-3547

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other practice location 1

351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300

Other identifiers 6

IdentifierTypeStateIssuer
0036256000MedicaidWV
4900332MedicaidVA
000044OtherVAANTHEM
11551OtherSOUTHERN HEALTH
2121887OtherVAALLIANCE
531939OtherVANCPPO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830001086 VA Part A Provider - Hospital 2365330347 Practice locations: Front Royal, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427085232. Details of each certification follow.

Hospital certification: CCN 490033

Legal name
WARREN MEMORIAL HOSPITAL, INC.
Doing business as
N/A
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 27, 1996
Beds
196
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1945 in VA
Enrollment address
351 Valley Health Way
Front Royal, VA 22630-6480
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Warren Memorial HospitalCCN 490033 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

120 N Commerce Ave
Ste 103230
Front Royal, VA 22630
Phone (540) 635-0800

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Barbara J Walter Individual Corporate OfficerBoard Member Jun 1, 2011
Raymond Grimm Individual Corporate OfficerBoard Member Jun 1, 2008
Corporate DirectorBoard Member Jun 1, 2008
Pamela McInnis Individual Corporate OfficerBoard Member Jun 1, 2011
Valley Health System Organization, Winchester, VA 5% Or Greater Direct Ownership Interest Jul 1, 1993
Marvin Todd Way Individual Corporate OfficerBoard Member Jun 1, 2009
Renee Baker Individual Corporate DirectorDelegated Official Jul 24, 2015
Jill Chambers Individual Operational/Managerial ControlManager Ins Credentialing DO Sep 1, 2017
Mark R Pierce Individual Corporate OfficerBoard Member Jun 1, 2008
Corporate DirectorBoard Member Jun 1, 2012
Mike Williams Individual Corporate OfficerBoard Member Jun 1, 2012
Henry Hobgood Individual Corporate OfficerBoard Member Jun 1, 2001
Patrick Nolan Individual Corporate OfficerBoard Member Apr 1, 2004
W-2 Managing Employee Apr 1, 2004
William B Major Individual Corporate OfficerBoard Member Jun 1, 2003
Corporate DirectorBoard Member Jun 1, 2003
Thomas Alan Ball Individual Corporate OfficerBoard Member Jun 1, 2012
Judith Wordsworth Individual Corporate OfficerBoard Member Jun 1, 2012
Guna R Subedi Individual Corporate OfficerBoard Member Jun 1, 2011
David L Blount Individual Corporate OfficerBoard Member Jun 1, 2004
Corporate DirectorBoard Member Jun 1, 2012
Tammy Gasper Individual Corporate OfficerVP Feb 1, 2018
John Lesinski Individual Corporate OfficerBoard Member Jun 1, 2011
Jennifer Barron Individual Corporate DirectorBoard Member Jun 1, 2011
Bridget G Madden Individual Corporate OfficerBoard Member Jun 1, 2010

Owners & managing parties with NPI records 5

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

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 383

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.

View all 383

Affiliated clinicians 539

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

View all 539

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1427085232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTH SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303547",
            "telephone_number": "540-636-0300",
            "fax_number": "540-636-0198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Valley Health Way",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226306480",
            "country_code": "US",
            "telephone_number": "540-636-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WARREN MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MGR INS CREDENTIALING",
        "authorized_official_telephone_number": "540-536-0231"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036256000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4900332",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000044",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "11551",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "2121887",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "531939",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.