Organization Active NPI

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
Authorized official
National Provider Directory
Specialties & licenses3
Addresses
Other identifiers17
Other names1
NPI Registry JSON
Other providers in South Boston, VA
Sources for 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
Practice address: 2204 Wilborn Ave
South Boston, VA 24592-1645
Phone: (434) 517-3100
Fax: (434) 575-0377
NPI assigned: Jul 19, 2006
Organization subpart: No

Authorized official

NPPES NPI Registry

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

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.

Halifax Regional Hospital
- Pharmacy
- South Boston, VA
- NPI 1861565731
NPD tax ID
Halifax Regional Hospital, Inc
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1023627486
NPD tax ID
Halifax Regional Hospital, Inc
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1033728803
NPD tax ID
Halifax Regional Hospital, Inc
- Rural Health Clinic/Center
- Clarksville, VA
- NPI 1154930824
NPD tax ID
Halifax Regional Hospital, Inc
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1841809241
NPD tax ID
Halifax Regional Hospital, Inc
- Rural Health Clinic/Center
- Nathalie, VA
- NPI 1851900534
NPD tax ID
Halifax Regional Hospital, Inc
- Rural Health Clinic/Center
- Chase City, VA
- NPI 1861001539
NPD tax ID

Specialties & licenses 3

NPPES NPI Registry

Specialty (taxonomy)	Code	License	State	Primary
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

NPPES NPI Registry

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 identifiers 17

NPPES NPI Registry

Identifier	Type	State
005831300	Medicaid	VA
006041736	Medicaid	VA
006072097	Medicaid	VA
006604510	Medicaid	VA
010053871	Medicaid	VA
010110041	Medicaid	VA
005802334	Medicaid	VA
005810922	Medicaid	VA
010263867	Medicaid	VA
006017738	Medicaid	VA
006081011	Medicaid	VA
005875251	Medicaid	VA
006089526	Medicaid	VA
005828902	Medicaid	VA
006086675	Medicaid	VA
006087701	Medicaid	VA
007306628	Medicaid	VA

Other names 1

NPPES NPI Registry

Sentara Halifax Regional Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2015.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005831300",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006041736",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006072097",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006604510",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010053871",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010110041",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005802334",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005810922",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010263867",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006017738",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006081011",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005875251",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006089526",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005828902",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006086675",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006087701",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007306628",
            "state": "VA"
        }
    ],
    "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.