NPIMap

Organization Active NPI

PCH Operations, LLC Dba RJ Reynolds-Patrick County Memorial Hospital

  • Hospitalist Physician
  • Stuart, VA
National Provider Identifier
1639365620
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
H1919 Issued in VA
Legal business name
PCH OPERATIONS, LLC DBA RJ REYNOLDS-PATRICK COUNTY MEMORIAL HOSPITAL
Practice address
18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone
(276) 694-8651
Fax
(276) 694-8655
NPI assigned
Sep 24, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Janice F Wilkins
Title
Administrator
Phone
(276) 694-8678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X H1919 VA Primary

Addresses

Primary practice location

18688 Jeb Stuart Hwy
Stuart, VA 24171-1559

Mailing address

18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone (276) 694-8651

Other identifiers 2

IdentifierTypeStateIssuer
146602OtherVAANTHEM
330049OtherVAMAMSI

National Provider Directory

National Provider Directory
Tax ID family
PCH Operations LLC Dba RJ Reynolds-Patrick County Memorial Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1639365620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18688 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711559",
            "telephone_number": "276-694-8651",
            "fax_number": "276-694-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18688 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711559",
            "telephone_number": "276-694-8651",
            "fax_number": "276-694-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCH OPERATIONS, LLC DBA RJ REYNOLDS-PATRICK COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-694-8678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "H1919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "146602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "330049",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.