Johnston Memorial Hospital, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

H1864 Issued in VA

Legal business name

JOHNSTON MEMORIAL HOSPITAL, INC

Doing business as

Johnston Memorial Home Care

Practice address

312 Cummings St
Abingdon, VA 24210-3230

Phone

(276) 525-1227

Fax

(276) 525-1236

NPI assigned

Jun 15, 2006

Last updated

Feb 12, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

JOHNSTON MEMORIAL HOSPITAL, INCAs reported in NPPES

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

Authorized official

Name

Mary Lynn Krutak

Title

Evp/Cfo

Phone

(423) 302-3423

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Johnston Memorial Home Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Johnston Memorial Hospital

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684

  Member Of

  NPD member
• Mountain States Health Alliance

  dba Sycamore Shoals Hospital Psychiatric Unit

  • Psychiatric Hospital Unit
  • Elizabethton, TN
  • NPI 1710099742

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Mountain States Health Alliance

  dba Ballad Health Homecare

  • Home Health Agency
  • Abingdon, VA
  • NPI 1962998732

  Sold to, 2018-07-01

  CMS change of ownership

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1730123159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PRINCETON RD STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012026",
            "telephone_number": "276-252-1277",
            "fax_number": "276-525-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CUMMINGS ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103230",
            "telephone_number": "276-525-1227",
            "fax_number": "276-525-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSTON MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "KRUTAK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "423-302-3423"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "H1864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004973411",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "114600",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Memorial Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnston Memorial Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnston Memorial Hospital
• Johnston Memorial Hospital, Inc
• Johnston Memorial Hospital, Inc (Ballad Health Pharmacy)
• Johnston Memorial Hospital, Inc (BH Specialty Pharmacy- JMH)
• Johnston Memorial Hospital, Inc (Johnston Memorial Surgery Center)
• Johnston Memorial Hospital, Inc (Center for Sleep Disorders at JMH)
• Johnston Memorial Hospital, Inc (Johnston Memorial Hospital Rehabilitation)
• Frances Anne Johnston, DDS
• Helen C Johnston, MD
• Jones Solutions LLC

• Home Health Agency in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.