GREENBRIER VMC LLC


Address: 202 Maplewood Ave, Ronceverte, WV 24970
Phone: 3046474411

GREENBRIER VMC LLC (NPI# 1346297603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346297603
Entity Type Organization
Organization Name GREENBRIER VMC LLC
Other Organization Name GREENBRIER VALLEY MEDICAL CENTER
Practice Address 202 Maplewood Ave
Ronceverte
WV 24970
Mailing Address 13662 Collection Center Dr
Chicago
IL 60693-0136
Practice Telephone 3046474411
Practice Fax Number 3046476010
Mailing Telephone 3046474411
Mailing Fax Number 3046476010
Enumeration Date 2006-05-30
Last Update Date 2018-03-29
Authorized Official Name PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
Authorized Official Telephone 6159254565
Is Organization Subpart Y
Parent Organization Name GREENBRIER VMC LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 55 WV Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
WV 010641000 05

Other Provider/Organization Names

Other Name Type Code
Greenbrier Valley Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417153172 Greenbrier Vmc LLC Internal Medicine Rr 2 Box 171-c, Greyrock Professional Park, Lewisburg, WV 24901-9318 2007-06-21
1053445981 Greenbrier Vmc LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 18 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1348 2007-03-15
1639216021 Greenbrier Vmc LLC Internal Medicine 323 N Jefferson St, Lewisburg, WV 24901-1116 2007-02-01
1639124142 Greenbrier Vmc LLC Anesthesiology 1320 Maplewood Ave, Ronceverte, WV 24970-8016 2006-05-23
1336350255 Greenbrier Vmc LLC Internal Medicine 202 Maplewood Ave, Ronceverte, WV 24970-1334 2007-05-24
1275546996 Greenbrier Vmc LLC Family Medicine 202 Maplewood Ave, Ronceverte, WV 24970-1334 2006-08-14

Office Location

Street Address 202 MAPLEWOOD AVE
City RONCEVERTE
State WV
Zip Code 24970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720071285 Leslie Abigail Winters Family Medicine 202 Maplewood Ave, Ronceverte, WV 24970-1334 2005-08-30
1689054363 Anastasia Yi Family Medicine 202 Maplewood Ave, Ronceverte, WV 24970-1334 2015-06-08
1184968562 Atomic Anesthesia Pllc Anesthesiology 202 Maplewood Ave, Ronceverte, WV 24970-1334 2012-11-26
1093092033 Jessica R Davis Nurse Anesthetist, Certified Registered 202 Maplewood Ave, Ronceverte, WV 24970-1334 2011-11-04
1427338979 Yelena V Johnson Registered Nurse 202 Maplewood Ave, Ronceverte, WV 24970-1334 2011-08-27
1396024014 Jessica Sue Aliff Family Medicine 202 Maplewood Ave, Ronceverte, WV 24970-1334 2011-08-11
1780993261 Emilee Pack Dietitian, Registered 202 Maplewood Ave, Ronceverte, WV 24970-1334 2010-09-30
1447581434 Greenbrier Vmc, LLC Clinic/Center 202 Maplewood Ave, Ronceverte, WV 24970-1334 2010-01-15
1306170048 Ronceverte Physician Group LLC Internal Medicine 202 Maplewood Ave, Ronceverte, WV 24970-1334 2009-09-29
1003048323 Brian Rodgers Registered Nurse 202 Maplewood Ave, Ronceverte, WV 24970-1334 2009-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770197980 Susan Linton Technician 3776 Holes Mill Rd, Ronceverte, WV 24970 2020-09-04
1417561143 Lori Selene Pickler Technician 974 C.west Main St, Ronceverte, WV 24970 2020-09-01
1184237257 Jotina Hamrick Technician 194 Sellers St. Apt.a, Ronceverte, WV 24970 2020-08-28
1871072066 Blink, Inc. Eyewear Supplier (Equipment, not the service) 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 2018-08-09
1407233976 Rocky Mountain Holdings, LLC Ambulance 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 2015-05-04
1245500040 Seneca Family Foot Care, Pllc Podiatrist 336 Seneca Trail, Ronceverte, WV 24970 2012-01-10
1922301035 Dwan Shasta Hamons Pharmacist 180 Red Oaks Shopping Center, Ronceverte, WV 24970 2010-12-10
1427351840 Xuan Le Berry Pharmacist 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 2010-12-07
1104129683 James P Meadows Pharmacist 180 Red Oak Shopping Center, Ronceverte, WV 24970 2010-12-06
1891924676 Blink, Inc. Optometrist 101 Davis Stuart Road, Ronceverte, WV 24970 2009-07-14
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Notes: Source: Code of Federal Regulations #42, Section 482.66.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063509263 Hospital Development Co. Medicare Defined Swing Bed Unit 200 Hospital Drive, Spencer, WV 25276 2006-10-07
1598763666 Grant Memorial Hospital Medicare Defined Swing Bed Unit 117 Hospital Dr, Petersburg, WV 26847-9566 2005-07-12
1649277476 Community Health Association Medicare Defined Swing Bed Unit 122 Pinnell Street, Ripley, WV 25271-0720 2005-07-07
1730788399 Marietta Memorial Hospital of Tyler County Inc Medicare Defined Swing Bed Unit 314 S Wells St, Sistersville, WV 26175-1098 2020-10-23
1376175240 Wetzel County Hospital, Inc. Medicare Defined Swing Bed Unit 3 E Benjamin Dr, New Martinsville, WV 26155-2758 2020-02-10
1891350179 Bluefield Hospital Company LLC Medicare Defined Swing Bed Unit 500 Cherry St, Bluefield, WV 24701-3306 2019-05-02
1407223571 Lindsey M Tabor Medicare Defined Swing Bed Unit 324 Miller Mountain Dr, Webster Springs, WV 26288-1065 2015-08-25
1104242569 Jefferson Memorial Hospital Medicare Defined Swing Bed Unit 300 S Preston St, Ranson, WV 25438-1631 2014-03-10
1982836326 Montgomery General Hospital, Inc Medicare Defined Swing Bed Unit 401 Sixth Avenue, Montgomery, WV 25136-2116 2009-08-19
1437391414 Grant Memorial Hospital Medicare Defined Swing Bed Unit 1 Hospital Dr, Petersburg, WV 26847-9549 2009-04-06
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Competitor

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City RONCEVERTE
Zip Code 24970

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Dataset Information

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.

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