Organization Active NPI

South Hill Wellness Center LLC

  • Multi-Specialty Clinic/Center
  • South Hill, VA
National Provider Identifier
1548613110
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOUTH HILL WELLNESS CENTER LLC
Practice address
107 N Brunswick Ave
South Hill, VA 23970-1909
Phone
(434) 447-8996
NPI assigned
Jul 19, 2016
Last updated
Apr 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Ronald H HerrscheNPI 1295828002
Title
Owner
Phone
(434) 447-8996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Family Nurse Practitioner 363LF0000X NU
Chiropractor 111N00000X 0104000298 VA

Addresses

Primary practice location

107 N Brunswick Ave
South Hill, VA 23970-1909

Mailing address

107 N Brunswick Ave
South Hill, VA 23970-1909
Phone (434) 447-8996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160810001773 VA Part B Supplier - Clinic/Group Practice 0840584090 Receives reassigned benefits from 1 practitioner
Practice locations: South Hill, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1548613110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N BRUNSWICK AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701909",
            "telephone_number": "434-447-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N BRUNSWICK AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701909",
            "telephone_number": "434-447-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "HERRSCHE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-447-8996"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.

Verify at the official NPI Registry.