NPIMap

Organization Active NPI

Halifax Regional Hospital

Doing business as Sentara Halifax Regional Hospital

  • General Acute Care Hospital
  • South Boston, VA
National Provider Identifier
1992724033
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1853 Issued in VA
Legal business name
HALIFAX REGIONAL HOSPITAL
Doing business as
Sentara Halifax Regional Hospital
Practice address
2204 Wilborn Ave
South Boston, VA 24592-1645
Phone
(434) 517-3100
Fax
(434) 575-0377
NPI assigned
Jul 19, 2006
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Mrs. Stephanie W Elliott
Title
Coordinator Third Party Payers
Phone
(434) 517-3156

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pathology Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Q00000X H1853 VA
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X H1853 VA
General Acute Care Hospital 282N00000X H1853 VA Primary

Addresses

Primary practice location

2204 Wilborn Ave
South Boston, VA 24592-1645

Mailing address

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-3100

Other names 1

  • Sentara Halifax Regional Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Halifax So Boston Comm8 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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1992724033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921645",
            "telephone_number": "434-517-3100",
            "fax_number": "434-575-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921645",
            "telephone_number": "434-517-3100",
            "fax_number": "434-575-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COORDINATOR THIRD PARTY PAYERS",
        "authorized_official_telephone_number": "434-517-3156",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology",
            "state": "VA",
            "license": "H1853",
            "primary": false
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": "VA",
            "license": "H1853",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Halifax Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.