NPIMap

Organization Active NPI

Vcu Health Tappahannock Hospital

  • General Acute Care Hospital
  • Tappahannock, VA
National Provider Identifier
1760580757
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1889 Issued in 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
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Sandra Noel
Title
Facility Enrollment Supervisor
Phone
(434) 828-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1889 VA Primary

Addresses

Primary practice location

618 Hospital Rd
Tappahannock, VA 22560

Mailing address

PO Box 783692
Philadelphia, PA 19178-3692
Phone (804) 828-5009

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110420000792 VA Part A Provider - Hospital 1759291495 Practice locations: Tappahannock, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760580757. Details of each certification follow.

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
OtherNon-profit
Incorporated
Feb 9, 1989 in VA
Enrollment address
618 Hospital Rd
Tappahannock, VA 22560-5000
Main/Primary Hospital Location
Hospital subgroups
Acute care, Swing-bed approved

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Vcu Health Tappahannock HospitalCCN 490084 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Blackstone Family Pract35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Member of 1

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

Locations

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/072ee25e-9ba2-4626-bd4b-17ff1ccdc763/

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Iris Lane Individual Corporate DirectorBoard Member Jan 1, 2021
Virginia Commonwealth University Health System Authority Organization, Philadelphia, PA 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Lisa Marie Dodd Individual Corporate DirectorBoard Member Jan 1, 2021
Alice G Burgess Individual Corporate DirectorBoard Member Feb 1, 2013
Darryl Fisher Individual Corporate DirectorBoard Member Feb 1, 2010
Christopher Brett McMillan Individual Corporate OfficerVice President of Revenue Cycle Nov 1, 2021
Joshua Hammond Individual Corporate Officer May 30, 2025
Alexander F Dillard Individual Corporate DirectorBoard Member Feb 1, 2007
Patricia Gallagher Individual Corporate DirectorBoard Member Jan 1, 2021
William Gregory Hundley Individual Corporate DirectorBoard Member Jan 1, 2021
Sandra Noel Individual W-2 Managing EmployeeFacility Enrollment Coordinator Apr 28, 2024
George Merl Longest Individual Corporate DirectorBoard Member Jan 1, 2021
Garfield Parker Individual Corporate DirectorBoard Member Jan 1, 2021
Nancy Weakley Individual Corporate DirectorBoard Member Jan 1, 2021
Richard Farmar Individual Corporate DirectorBoard Member Jan 1, 2021
James Siegel Individual Corporate OfficerChief Financial Officer Nov 16, 2021
Elizabeth Harlan Individual W-2 Managing EmployeeDirector Revenue Cycle Optimization May 1, 2023

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 519

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 519

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1760580757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783692",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783692",
            "telephone_number": "804-828-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 HOSPITAL RD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "22560",
            "telephone_number": "804-443-3311",
            "fax_number": "804-443-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCU HEALTH TAPPAHANNOCK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "FACILITY ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "434-828-5009"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

Verify at the official NPI Registry.