NPIMap

Organization Active NPI

Russell County Medical Center Inc

  • Community Based Hospice Care Agency
  • Lebanon, VA
National Provider Identifier
1831156462
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSP-0655 Issued in VA
Legal business name
RUSSELL COUNTY MEDICAL CENTER INC
Practice address
116 Flanagan Ave
Suite C
Lebanon, VA 24266-4514
Phone
(276) 883-8484
Fax
(276) 883-8495
NPI assigned
Apr 27, 2006
Organization subpart
Yes
Parent organization
RUSSELL COUNTY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mrs. Karen J Fields, RN
Title
Agency Director
Phone
(276) 883-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSP-0655 VA Primary

Addresses

Primary practice location

116 Flanagan Ave
Suite C
Lebanon, VA 24266-4514

Mailing address

PO Box 3600
Suite C
Lebanon, VA 24266-0200
Phone (276) 883-8484

Other identifiers 1

IdentifierTypeStateIssuer
4910559MedicaidVA

Other names 1

  • RUSSELL COUNTY MEDICAL CENTER HOSPICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RCMC Home Health Ipl4 organizations share this tax ID, including this one
Part of
RCMC Home Health Ipl

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1831156462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3600",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242660200",
            "telephone_number": "276-883-8484",
            "fax_number": "276-883-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FLANAGAN AVE",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664514",
            "telephone_number": "276-883-8484",
            "fax_number": "276-883-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL COUNTY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSSELL COUNTY MEDICAL CENTER INC",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "276-883-8484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "HSP-0655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4910559",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSSELL COUNTY MEDICAL CENTER HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.