Active NPI
Winchester Medical Center Inc.
- Emergency Care Clinic/Center
- Winchester, VA
National Provider Identifier
1487907341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- WINCHESTER MEDICAL CENTER INC.
- Practice address
- 1840 Amherst St
Winchester, VA 22601-2808 - Phone
- (540) 536-8700
- Fax
- (540) 536-4445
- NPI assigned
- Oct 17, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Grady W Philips III
- Title
- Sr. VP and Coo
- Phone
- (540) 536-2607
Practitioners 46
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130214000243 | VA | Part B Supplier - Clinic/Group Practice | 7214181585 |
Receives reassigned benefits from 46 practitioners Practice locations: Winchester, VA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1840 Amherst St
Winchester, VA 22601-2808
Mailing address
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700
Other names 1
NPPES NPI Registry- DBA Winchester Observation Medicine PLLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2014.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402531200000",
"number": "1487907341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012808",
"telephone_number": "540-536-8700",
"fax_number": "540-536-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012808",
"telephone_number": "540-536-8700",
"fax_number": "540-536-4445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINCHESTER MEDICAL CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2014-06-12",
"status": "A",
"authorized_official_last_name": "PHILIPS",
"authorized_official_first_name": "GRADY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "SR. VP AND COO",
"authorized_official_telephone_number": "540-536-2607",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA Winchester Observation Medicine PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.