NPIMap

Organization Active NPI

Lewis-Gale Medical Center, LLC

  • Psychiatric Hospital Unit
  • Salem, VA
National Provider Identifier
1609269083
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
LEWIS-GALE MEDICAL CENTER, LLC
Practice address
1902 Braeburn Dr
Salem, VA 24153-7304
Phone
(540) 776-4000
NPI assigned
Mar 10, 2015
Organization subpart
Yes
Parent organization
LEWIS-GALE MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Angela Reynolds
Title
Cfo
Phone
(540) 776-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

1902 Braeburn Dr
Salem, VA 24153-7304

Mailing address

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

Other practice location 1

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

Other names 1

  • Lewis-Gale Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis-Gale Medical Center LLC11 organizations share this tax ID, including this one
Part of
Lewis-Gale Medical Center LLC

Other organizations with this tax ID 10

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": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1609269083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537474",
            "telephone_number": "540-776-4000",
            "fax_number": "540-776-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537304",
            "telephone_number": "540-776-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537474",
            "country_code": "US",
            "telephone_number": "540-776-4000",
            "fax_number": "540-776-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEWIS-GALE MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWIS-GALE MEDICAL CENTER, LLC",
        "enumeration_date": "2015-03-10",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-776-4125"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis-Gale Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lewis-Gale Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.