NPIMap

Organization Active NPI

PCH Operations, LLC Dba R.J. Reynolds-Patrick County Memorial Hospital

  • Ambulatory Surgical Clinic/Center
  • Stuart, VA
National Provider Identifier
1902900202
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PCH OPERATIONS, LLC DBA R.J. REYNOLDS-PATRICK COUNTY MEMORIAL HOSPITAL
Practice address
18688 Jeb Stuart Highway
Stuart, VA 24171
Phone
(276) 694-3151
Fax
(276) 694-8655
NPI assigned
Sep 8, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Janice F. Wilkins
Title
Administrator
Phone
(276) 694-8678

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary
Critical Access Hospital 282NC0060X NU

Addresses

Primary practice location

18688 Jeb Stuart Highway
Stuart, VA 24171

Mailing address

18688 Jeb Stuart Highway
Stuart, VA 24171
Phone (276) 694-3151

Other identifiers 2

IdentifierTypeStateIssuer
330049OtherVAMAMSI
146602OtherVABLUE CROSS

Other names 1

  • CRNA Other name

National Provider Directory

National Provider Directory
Tax ID family
PCH Operations LLC Dba RJ Reynolds-Patrick County Memorial Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902900202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18688 JEB STUART HIGHWAY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "24171",
            "telephone_number": "276-694-3151",
            "fax_number": "276-694-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18688 JEB STUART HIGHWAY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "24171",
            "telephone_number": "276-694-3151",
            "fax_number": "276-694-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCH OPERATIONS, LLC DBA R.J. REYNOLDS-PATRICK COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-694-8678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "330049",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "146602",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stuart, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.