NPIMap

Organization Active NPI

Winchester Medical Center

Doing business as Winchester Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Winchester, VA
National Provider Identifier
1962453936
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
H1914 Issued in VA
Legal business name
WINCHESTER MEDICAL CENTER
Doing business as
Winchester Rehabilitation Center
Practice address
333 W Cork St
Winchester, VA 22601-3870
Phone
(540) 536-5114
Fax
(540) 536-5139
NPI assigned
May 15, 2006
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WINCHESTER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Mr. Robert M. Amos
Title
VP/Cfo
Phone
(540) 536-2607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X H1914 VA Primary

Addresses

Primary practice location

333 W Cork St
Winchester, VA 22601-3870

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other identifiers 10

IdentifierTypeStateIssuer
0059420OtherVAUNITED MINE WORKERS - OP
2121886OtherVAOPTIMUM CHOICE, MDIPA
531913OtherVANCPPO
148653500OtherVAUS DEPARTMENT OF LABOR
092338900MedicaidFL
000039OtherVAANTHEM
004930339MedicaidVA
005055500MedicaidMD
0059412OtherVAUNITED MINE WORKERS - IP
2121886OtherVAMAMSI, MAPSI, ALLIANCE

Other names 1

  • Winchester Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070522000655 VA Part A Provider - Hospital 0244134021 Practice locations: Winchester, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962453936. Details of each certification follow.

Hospital certification: CCN 49T005

Legal name
WINCHESTER MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
May 8, 1984 in VA
Enrollment address
1840 Amherst St
Winchester, VA 22601-2808
Other Hospital Practice Location
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Winchester Rehabilitation CtrCCN 49T005 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Winchester M Hos Emerg MD18 organizations share this tax ID, including this one
Part of
Winchester M Hos Emerg MD

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert M Amos Individual Corporate DirectorVP & Cfo Jan 1, 2014
Valley Health System Organization, Winchester, VA Corporation 5% Or Greater Direct Ownership Interest Jan 9, 2014 100%
Jill Chambers Individual W-2 Managing Employee Sep 1, 2017

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valley Health Home Health/West VirginiaRomney, WV, CCN 517075 Home health agency 5% Or Greater Direct Ownership Interest (33.3%) Nov 1, 2006
Valley Health Winchester Family PracticeWinchester, VA, CCN 493460 Rural health clinic 5% Or Greater Direct Ownership Interest (5%) May 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1962453936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013870",
            "telephone_number": "540-536-5114",
            "fax_number": "540-536-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINCHESTER MEDICAL CENTER",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "540-536-2607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "VA",
            "license": "H1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS - OP",
            "identifier": "0059420",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE, MDIPA",
            "identifier": "2121886",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "531913",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "148653500",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092338900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000039",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004930339",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005055500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS - IP",
            "identifier": "0059412",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI, MAPSI, ALLIANCE",
            "identifier": "2121886",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchester Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winchester Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.