NPIMap

Organization Active NPI

Bedford Memorial Hospital

Doing business as Bedford Adult Day Center

  • Taxi
  • Bedford, VA
National Provider Identifier
1831644897
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
ADC994441 Issued in VA
Legal business name
BEDFORD MEMORIAL HOSPITAL
Doing business as
Bedford Adult Day Center
Practice address
1617 Oakwood St
Bedford, VA 24523-1213
Phone
(540) 586-8424
NPI assigned
Aug 19, 2016
Last updated
Aug 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Patti Jurkus
Title
VP & Ceo
Phone
(540) 425-7601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X ADC994441 VA
Taxi 344600000X ADC994441 VA Primary

Addresses

Primary practice location

1617 Oakwood St
Bedford, VA 24523-1213

Mailing address

1617 Oakwood St
Bedford, VA 24523-1213
Phone (540) 586-8424

Other identifiers 2

IdentifierTypeStateIssuer
0049483438MedicaidVA
0087303423MedicaidVA

Other names 1

  • Bedford Adult Day Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bedford Memorial Hospital4 organizations share this tax ID, including this one

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": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1831644897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 OAKWOOD ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231213",
            "telephone_number": "540-586-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 OAKWOOD ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231213",
            "telephone_number": "540-586-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "JURKUS",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "VP & CEO",
        "authorized_official_telephone_number": "540-425-7601"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "ADC994441",
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "VA",
            "license": "ADC994441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049483438",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087303423",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.