SMYTH COUNTY COMMUNITY HOSPITAL (NPI# 1073519377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073519377 |
| Entity Type | Organization |
| Organization Name | SMYTH COUNTY COMMUNITY HOSPITAL |
| Practice Address |
245 Medical Park Dr Marion VA 24354-1100 |
| Mailing Address |
311 Princeton Rd Ste 1 Johnson City TN 37601-2026 |
| Practice Telephone | 2763781000 |
| Practice Fax Number | 2763781205 |
| Mailing Telephone | 2763781000 |
| Mailing Fax Number | 2763781205 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | MARY LYNN KRUTAK (EVP/CFO) |
| Authorized Official Telephone | 4233023423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H1902 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 007678 | 01 |
| VA | 004900383 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548640717 | Smyth County Community Hospital | General Acute Care Hospital | 1 Health Way, Marion, VA 24354-4225 | 2015-06-03 |
| 1437453081 | Smyth County Community Hospital | Obstetrics & Gynecology | 1112 Snider St, Marion, VA 24354-4216 | 2010-12-22 |
| 1750433389 | Smyth County Community Hospital | Durable Medical Equipment & Medical Supplies | 1152 Snider St, Marion, VA 24354-4216 | 2007-01-16 |
| 1669460952 | Smyth County Community Hospital | Clinic/Center | 1201 Snider St, Marion, VA 24354-4221 | 2005-10-11 |
| 1356347082 | Smyth County Community Hospital | Family Medicine | 7021 West Lee Highway, Rural Retreat, VA 24368-0000 | 2005-06-27 |
| 1184620072 | Smyth County Community Hospital | Internal Medicine | 1118 Snider Street, Marion, VA 24354 | 2005-06-24 |
| 1174529242 | Smyth County Community Hospital | Clinic/Center | 636 S Monte Vista Dr, Glade Spring, VA 24340-2712 | 2005-06-23 |
| 1851397897 | Smyth County Community Hospital | Assisted Living Facility | 100 Francis Marion Ln, Marion, VA 24354-2629 | 2005-06-23 |
| 1134125438 | Smyth County Community Hospital | Home Health | 1205 Snider St, Marion, VA 24354-4221 | 2005-06-22 |
| 1194104687 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SMYTH COUNTY COMMUNITY HOSPITAL | 245 Medical Park Dr, Marion, VA 24354-1100 |
| Virginia Business Entities | Smyth County Community Hospital | 245 Medical Park Drive, Marion, Virginia 24354 |
| Street Address |
245 MEDICAL PARK DR |
| City | MARION |
| State | VA |
| Zip Code | 24354-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447895420 | Emily Grace Jones | Nurse Practitioner | 245 Medical Park Dr, Marion, VA 24354-1100 | 2019-11-13 |
| 1639649296 | Blue Ridge Medical Management Corporation | Internal Medicine | 245 Medical Park Dr, Marion, VA 24354 | 2018-11-27 |
| 1164966909 | Blue Ridge Medical Management Corporation | Internal Medicine | 245 Medical Park Dr, Suite E, Marion, VA 24354-1100 | 2016-12-13 |
| 1093168726 | Heather Danielle Greear | Nurse Practitioner | 245 Medical Park Dr, Marion, VA 24354-1100 | 2016-07-18 |
| 1598141970 | Blue Ridge Medical Management | Internal Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-08-07 |
| 1285016311 | Stanley Brandon Grover | Emergency Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-06-25 |
| 1194104687 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-05-29 |
| 1194104976 | Sherry W. Love | Registered Nurse | 245 Medical Park Dr, Suite C, Marion, VA 24354 | 2015-05-26 |
| 1013302900 | Joseph Michael Martin | Emergency Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-03-30 |
| 1285022095 | Jaimie Leanne Shelton | Physician Assistant | 245 Medical Park Dr, Suite C, Marion, VA 24354-1100 | 2014-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548640717 | Smyth County Community Hospital | General Acute Care Hospital | 1 Health Way, Marion, VA 24354-4225 | 2015-06-03 |
| 1124082417 | Southwestern Virginia Mental Health Institute | General Acute Care Hospital | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-13 |
| 1215935366 | Marion General Hospital, Inc. | General Acute Care Hospital | 1000 Mckinley Park Dr, Marion, OH 43302-6399 | 2005-07-12 |
| 1699772657 | The Mcdowell Hospital Inc | General Acute Care Hospital | 430 Rankin Dr, Marion, NC 28752-6568 | 2005-07-06 |
| 1053885392 | Crittenden Community Hospital LLC | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-21 |
| 1225513948 | Mh Mission Hospital Mcdowell, Lllp | General Acute Care Hospital | 430 Rankin Dr, Marion, NC 28752-6568 | 2018-09-27 |
| 1194104687 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-05-29 |
| 1720367154 | Marion Va Medical Center | General Acute Care Hospital | 2401 W Main St, Marion, IL 62959-1188 | 2011-08-16 |
| 1679871677 | Crittenden Health Systems | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064-1516 | 2011-03-01 |
| 1962527945 | Mcdowell Hospital | General Acute Care Hospital | 430 Rankin Dr, Marion, NC 28752-6568 | 2007-03-20 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.