Vcu Health Tappahannock Hospital
Organization Active NPI General Acute Care Hospital · Tappahannock, VA
NPI 1760580757 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1760580757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- H1889 (VA)
- Legal business name
- VCU HEALTH TAPPAHANNOCK HOSPITAL
- Practice address
- 618 Hospital Rd
Tappahannock, VA 22560 - Phone
- (804) 443-3311
- Fax
- (804) 443-6150
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Sandra Noel
- Title
- Facility Enrollment Supervisor
- Phone
- (434) 828-5009
Owners & managing parties with NPI records 9
-
Lisa Marie Dodd, DO
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 34
Member of 1
Facilities with the same owner 4
Affiliated clinicians 519
-
Randa Zaid Abouzaki, FNP
-
Anila Abraham, NP
-
Atul Aggarwal, M.D.
-
Erin R Alesi, MD
-
Amon Asgharpour, M.D.
-
Angel Bacon, FNP
-
Sara Baffuto, NP
-
Phillip William Balzer, CRNA
-
Alok Baral, MD
-
John Christian Barrett, M.D.
-
James Russell Bateman III, MD, MPH
-
Ahmet Baykal, M.D.
Medicare Care Compare: Hospital
- Listed as
- Vcu Health Tappahannock Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Hospital certification: CCN 490084
- Legal name
- VCU HEALTH TAPPAHANNOCK HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 23, 2019
- Beds
- 67
- Ownership / control type
- Private (not for profit)
- Organization structure
- Other · Non-profit
- Incorporated
- Feb 9, 1989 in VA
- Enrollment address
- 618 Hospital Rd
Tappahannock, VA 22560-5000 - Hospital subgroups
- Acute care, Swing-bed approved
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Iris Lane |
Corporate Director |
Jan 1, 2021 | |
| Virginia Commonwealth University Health System Authority |
5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 100% |
| Lisa Marie Dodd |
Corporate Director |
Jan 1, 2021 | |
| Alice G Burgess |
Corporate Director |
Feb 1, 2013 | |
| Darryl Fisher |
Corporate Director |
Feb 1, 2010 | |
| Christopher Brett McMillan |
Corporate Officer |
Nov 1, 2021 | |
| Joshua Hammond |
Corporate Officer | May 30, 2025 | |
| Alexander F Dillard |
Corporate Director |
Feb 1, 2007 | |
| Patricia Gallagher |
Corporate Director |
Jan 1, 2021 | |
| William Gregory Hundley |
Corporate Director |
Jan 1, 2021 | |
| Sandra Noel |
W-2 Managing Employee |
Apr 28, 2024 | |
| George Merl Longest |
Corporate Director |
Jan 1, 2021 | |
| Garfield Parker |
Corporate Director |
Jan 1, 2021 | |
| Nancy Weakley |
Corporate Director |
Jan 1, 2021 | |
| Richard Farmar |
Corporate Director |
Jan 1, 2021 | |
| James Siegel |
Corporate Officer |
Nov 16, 2021 | |
| Elizabeth Harlan |
W-2 Managing Employee |
May 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110420000792 | VA | Part a Provider - Hospital | 1759291495 | Practice locations: Tappahannock, VA |
National Provider Directory
- Tax ID family
- Medical College of VA
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/072ee25e-9ba2-4626-bd4b-17ff1ccdc763/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | H1889 | VA | Yes |
Addresses
Primary practice location
618 Hospital Rd
Tappahannock, VA 22560
Mailing address
PO Box 783692
Philadelphia, PA 19178-3692
Phone (804) 828-5009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4900847 | Medicaid | VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Tappahannock, VA
- Tappahannock SNF Operations LLC
- Taylored Care LLC
- Allen Y Tsui
- United Choice Healthcare Staffing
- Taylor Whitten Vaughan
- Vcu Health Tappahannock Hospital
- Venture Health Corp
- VSLV Pharmacy Inc
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
All providers in Tappahannock, VA · General Acute Care Hospital in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.