SMYTH COUNTY COMMUNITY HOSPITAL (NPI# 1134125438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134125438 |
| Entity Type | Organization |
| Organization Name | SMYTH COUNTY COMMUNITY HOSPITAL |
| Other Organization Name | SMYTH REGIONAL HOMECARE |
| Practice Address |
1205 Snider St Marion VA 24354-4221 |
| Mailing Address |
311 Princeton Rd Ste 1 Johnson City TN 37601-2026 |
| Practice Telephone | 2767829696 |
| Practice Fax Number | 2767829886 |
| Mailing Telephone | 2767829696 |
| Mailing Fax Number | 2767829886 |
| 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 | 251E00000X | Home Health | H1902 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004970993 | 05 | |
| VA | TRIGON BC/BS | 083894 | 01 |
| Other Name | Type Code |
|---|---|
| Smyth Regional Homecare | Doing Business As Name - Organization |
| 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 |
| 1073519377 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 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 |
| Street Address |
1205 SNIDER ST |
| City | MARION |
| State | VA |
| Zip Code | 24354-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114219805 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 1205 Snider St, Marion, VA 24354-4221 | 2011-05-12 |
| 1811289580 | Blue Ridge Medical Management Corporation | Otolaryngology | 1205 Snider St, Marion, VA 24354-4221 | 2011-05-12 |
| 1396821112 | Anthony Clary | Obstetrics & Gynecology | 1205 Snider St, Marion, VA 24354-4221 | 2006-10-27 |
| 1245251099 | Smyth County Community Hospital | Otolaryngology | 1205 Snider St, Marion, VA 24354-4221 | 2006-07-21 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635638 | Dorothy Henson | Home Health | 864 Barks Rd E, Marion, OH 43302-6522 | 2020-06-30 |
| 1619508710 | Elite Community Care | Home Health | 1838 Lower Seguin Rd, Marion, TX 78124-4005 | 2020-01-28 |
| 1053979377 | Tlc Quality Home Care Services, LLC | Home Health | 2921 Hwy 77 S Ste 20, Marion, AR 72364-2368 | 2019-06-01 |
| 1730743279 | 1 Amazing Home Care, LLC | Home Health | 117 N Greenwood St Ste 4, Marion, OH 43302-3129 | 2019-04-30 |
| 1285108670 | Crystal Lynn Hoffman | Home Health | 3255 Cardington Rd, Marion, OH 43302-8439 | 2019-01-18 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1033690227 | Your Life Matters Home Care | Home Health | 2118 W 2nd St Apt 113b, Marion, IN 46952-3281 | 2018-08-24 |
| 1518465418 | Dozier Home Healthcare, LLC | Home Health | 210 E Dozier St, Marion, SC 29571-3014 | 2018-01-25 |
| 1578072682 | Alex Blevins | Home Health | 2230 Mary Ln, Marion, OH 43302-5100 | 2017-09-21 |
| 1215453451 | Joans Health Care LLC | Home Health | 2524 E Highway 76, Marion, SC 29571 | 2017-08-18 |
| 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.