NPIMap

Organization Active NPI

Twin County Regional Hospital

  • Speech-Language Pathologist
  • Galax, VA
National Provider Identifier
1558697235
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TWIN COUNTY REGIONAL HOSPITAL
Doing business as
OUTPATIENT REHABILITATION SERVICES
Practice address
607 Glendale Rd
Galax, VA 24333-2209
Phone
(276) 236-1675
Fax
(276) 236-3399
NPI assigned
Oct 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Mr. Nelson Lee Montgomery, CPA
Title
Cfo
Phone
(276) 236-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X VA Primary

Addresses

Primary practice location

607 Glendale Rd
Galax, VA 24333-2209

Mailing address

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-1675

Other identifiers 2

IdentifierTypeStateIssuer
007694OtherVABLUE CROSS
0490115MedicaidVA

Other names 1

  • OUTPATIENT REHABILITATION SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Twin Co CM Hos ER MD5 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.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1558697235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332227",
            "telephone_number": "276-236-1675",
            "fax_number": "276-236-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332209",
            "telephone_number": "276-236-1675",
            "fax_number": "276-236-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN COUNTY REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "276-236-1620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "007694",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUTPATIENT REHABILITATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.