NPIMap

Organization Active NPI

Johnston Memorial Hospital, Inc

Doing business as Johnston Memorial Hospital Rehabilitation

  • General Acute Care Hospital
  • Abingdon, VA
National Provider Identifier
1902280050
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1864 Issued in VA
Legal business name
JOHNSTON MEMORIAL HOSPITAL, INC
Doing business as
Johnston Memorial Hospital Rehabilitation
Practice address
445 Porterfield Hwy SW
Suite F/G
Abingdon, VA 24210-2556
Phone
(276) 623-0153
Fax
(276) 623-1672
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Shane Edwin Hilton
Title
Evp/Cfo
Phone
(423) 302-3467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1864 VA Primary

Addresses

Primary practice location

445 Porterfield Hwy SW
Suite F/G
Abingdon, VA 24210-2556

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Phone (276) 623-0153

Other names 1

  • Johnston Memorial Hospital Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johnston Memorial Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

445 Porterfield Hwy SW
Ste Fg
Abingdon, VA 24210
Phone (276) 623-0153

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1902280050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PRINCETON RD STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012026",
            "telephone_number": "276-623-0153",
            "fax_number": "276-623-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PORTERFIELD HWY SW",
            "address_2": "SUITE F/G",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102556",
            "telephone_number": "276-623-0153",
            "fax_number": "276-623-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "423-302-3467"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Memorial Hospital Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.