NPIMap

Organization Active NPI

Essent Healthcare - Waynesburg LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Waynesburg, PA
National Provider Identifier
1811023302
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
ESSENT HEALTHCARE - WAYNESBURG LLC
Doing business as
Southwest Regional Medical Center
Practice address
350 Bonar Ave
Waynesburg, PA 15370-1608
Phone
(724) 627-2645
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Stephen L. Page
Title
Vice President
Phone
(615) 844-9849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

350 Bonar Ave
Waynesburg, PA 15370-1608

Mailing address

350 Bonar Ave
Waynesburg, PA 15370-1608
Phone (724) 627-2645

Other identifiers 1

IdentifierTypeStateIssuer
1015525580001MedicaidPA

Other names 1

  • Southwest Regional Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

350 Bonar Ave
#3
Waynesburg, PA 15370

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1811023302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BONAR AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701608",
            "telephone_number": "724-627-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BONAR AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701608",
            "telephone_number": "724-627-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENT HEALTHCARE - WAYNESBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-844-9849"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015525580001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.