NPIMap

Organization Active NPI

Smyth County Community Hospital

Doing business as Smyth Regional Urology

  • Clinic/Center
  • Marion, VA
National Provider Identifier
1669460952
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SMYTH COUNTY COMMUNITY HOSPITAL
Doing business as
Smyth Regional Urology
Practice address
1201 Snider St
Marion, VA 24354-4221
Phone
(276) 783-5400
Fax
(276) 783-5521
NPI assigned
Oct 11, 2005
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SMYTH COUNTY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mrs. Lindy P White, MBA
Title
Ceo
Phone
(276) 782-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1201 Snider St
Marion, VA 24354-4221

Mailing address

1201 Snider St
Marion, VA 24354-4221
Phone (276) 783-5400

Other names 1

  • Smyth Regional Urology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000522 VA Part B Supplier - Clinic/Group Practice 0446168496 Receives reassigned benefits from 5 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glade Spring, VA

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Smyth County Community

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1669460952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SNIDER ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544221",
            "telephone_number": "276-783-5400",
            "fax_number": "276-783-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SNIDER ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544221",
            "telephone_number": "276-783-5400",
            "fax_number": "276-783-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYTH COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMYTH COUNTY COMMUNITY HOSPITAL",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LINDY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-782-1240",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smyth Regional Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.