NPIMap

Organization Active NPI

Montgomery Regional Hospital Inc

Doing business as Lewisgale Hospital Montgomery

  • General Acute Care Hospital
  • Blacksburg, VA
National Provider Identifier
1558317867
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MONTGOMERY REGIONAL HOSPITAL INC
Doing business as
Lewisgale Hospital Montgomery
Practice address
3700 S Main St
Blacksburg, VA 24060-7017
Phone
(540) 951-1111
Fax
(540) 953-5295
NPI assigned
May 26, 2006
Last updated
Mar 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Keith Graham
Title
Controller
Phone
(540) 953-5106

Specialties & licenses 1

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

Addresses

Primary practice location

3700 S Main St
Blacksburg, VA 24060-7017

Mailing address

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

Other identifiers 1

IdentifierTypeStateIssuer
442566OtherVAWELLPOINT VA/BLUE CROSS

Other names 1

  • LEWISGALE HOSPITAL MONTGOMERY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MNTG Reg Ta Reg Fam Crgrp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1558317867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-951-1111",
            "fax_number": "540-953-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-951-1111",
            "fax_number": "540-953-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY REGIONAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "540-953-5106"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPOINT VA/BLUE CROSS",
            "identifier": "442566",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEWISGALE HOSPITAL MONTGOMERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.