Organization Active NPI

Commonwealth of Virginia Piedmont Geriatric Hospital

  • Chronic Disease Hospital
  • Burkeville, VA
National Provider Identifier
1730121989
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
Legal business name
COMMONWEALTH OF VIRGINIA PIEDMONT GERIATRIC HOSPITAL
Practice address
5001 E Patrick Henry Highway
Burkeville, VA 23922-0427
Phone
(434) 767-4401
Fax
(434) 767-4500
NPI assigned
Jun 12, 2006
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Mrs. Lynne M Inge
Title
Fiscal Director
Phone
(434) 767-4405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X NU Primary
General Acute Care Hospital 282N00000X NU

Addresses

Primary practice location

5001 E Patrick Henry Highway
Burkeville, VA 23922-0427

Mailing address

PO Box 427
Burkeville, VA 23922-0427
Phone (434) 767-4401

Other identifiers 1

IdentifierTypeStateIssuer
4920031MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1730121989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "BURKEVILLE",
            "state": "VA",
            "postal_code": "239220427",
            "telephone_number": "434-767-4401",
            "fax_number": "434-767-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E PATRICK HENRY HIGHWAY",
            "city": "BURKEVILLE",
            "state": "VA",
            "postal_code": "239220427",
            "telephone_number": "434-767-4401",
            "fax_number": "434-767-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA PIEDMONT GERIATRIC HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "INGE",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FISCAL DIRECTOR",
        "authorized_official_telephone_number": "434-767-4405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4920031",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burkeville, VA

Sources for this page

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