NPIMap

Organization Active NPI

Russell County Medical Center, Inc

Doing business as Russell County Medical Center

  • Psychiatric Hospital Unit
  • Lebanon, VA
National Provider Identifier
1871599308
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
09704001 Issued in VA
Legal business name
RUSSELL COUNTY MEDICAL CENTER, INC
Doing business as
Russell County Medical Center
Practice address
58 Carroll Street
Lebanon, VA 24266
Phone
(276) 883-8000
Fax
(276) 889-4336
NPI assigned
Jun 21, 2005
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
RUSSELL COUNTY MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
David Miller
Title
VP, Community Health Systems
Phone
(888) 373-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 09704001 VA Primary

Addresses

Primary practice location

58 Carroll Street
Lebanon, VA 24266

Mailing address

PO Box 198250
Atlanta, GA 30384-8250

Other identifiers 1

IdentifierTypeStateIssuer
007676OtherVABLUE CROSS

Other names 1

  • Russell County Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Russell County Medical GRP4 organizations share this tax ID, including this one
Part of
Russell County Medical GRP

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": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1871599308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CARROLL STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-883-8000",
            "fax_number": "276-889-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL COUNTY MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSSELL COUNTY MEDICAL CENTER, INC",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP, COMMUNITY HEALTH SYSTEMS",
        "authorized_official_telephone_number": "888-373-9600"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "VA",
            "license": "09704001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "007676",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell County Medical Center",
            "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 Nov 27, 2007; 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.