WYTHE COUNTY COMMUNITY HOSPITAL LLC (NPI# 1518005644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518005644 |
| Entity Type | Organization |
| Organization Name | WYTHE COUNTY COMMUNITY HOSPITAL LLC |
| Other Organization Name | WYTHE COUNTY COMMUNITY HOSPITAL |
| Practice Address |
600 W Ridge Rd Wytheville VA 24382-1044 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 2762280200 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | VICTOR E. GIOVANETTI (OPERATIONS PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | WYTHE COUNTY COMMUNITY HOSPITAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 49U1118 | 05 |
| Other Name | Type Code |
|---|---|
| Wythe County Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518167097 | Wythe County Community Hospital LLC | Clinical Medical Laboratory | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2007-07-23 |
| 1932265378 | Wythe County Community Hospital LLC | Skilled Nursing Facility | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2006-12-29 |
| 1073677134 | Wythe County Community Hospital LLC | Home Health | 245 Holston Rd, Ste. A, Wytheville, VA 24382-4448 | 2006-12-21 |
| 1184706152 | Wythe County Community Hospital LLC | General Acute Care Hospital | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2006-10-19 |
| 1104928514 | Wythe County Community Hospital LLC | Hospice Care, Community Based | 600 W Ridge Rd, Hospice of Southwest Virginia, Wytheville, VA 24382 | 2006-09-05 |
| 1083660492 | Wythe County Community Hospital LLC | Emergency Medicine | 103 Powell Ct, Brentwood, TN 37027-5079 | 2006-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wythe County Community Hospital LLC | 103 Powell Ct Ste 200, Brentwood, Tennessee 37027 |
| Street Address |
600 W RIDGE RD |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451567 | Gordon Jay Settlow | Specialist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2005-07-20 |
| 1972138493 | Tammy Lynn Guinn | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2020-03-04 |
| 1275175457 | Carrie Joan Mckinney | Hospitalist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2019-10-09 |
| 1114585197 | Gary Paul Rogers IIi | Nutritionist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2019-06-04 |
| 1376008730 | Jeannie Lynn Childress | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2019-02-09 |
| 1851875710 | Andrew Preston Widener | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2018-09-17 |
| 1477087500 | Jennifer L Tarter | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2017-04-15 |
| 1124575592 | Sheridan Anesthesia Services of Virginia, Inc | Anesthesiology | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2016-09-02 |
| 1316347354 | Rebecca Williams | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2014-08-27 |
| 1225391162 | Anna L. Caldwell | Physician Assistant | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2012-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780813881 | Columbia-alleghany Regional Hospital Inc | Medicare Defined Swing Bed Unit | 1 Alleghany Reg Hospital Ln, Low Moor, VA 24457 | 2009-07-09 |
| 1174564389 | Pennington Gap Hma Inc | Medicare Defined Swing Bed Unit | West Morgan Avenue, Pennington Gap, VA 24277 | 2006-06-09 |
| 1205807690 | Emporia Hospital Corporation | Medicare Defined Swing Bed Unit | 727 N Main St, Emporia, VA 23847-1274 | 2006-02-01 |
| 1295370328 | Bon Secours Mercy Health Franklin LLC | Medicare Defined Swing Bed Unit | 100 Fairview Dr, Franklin, VA 23851-1238 | 2019-11-13 |
| 1194360263 | Bon Secours Mercy Health Emporia LLC | Medicare Defined Swing Bed Unit | 727 N Main St, Emporia, VA 23847-1274 | 2019-11-13 |
| 1609226539 | Chesapeake Hospital LLC | Medicare Defined Swing Bed Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2016-06-22 |
| 1023459252 | Valerie Vanessa Hatcher | Medicare Defined Swing Bed Unit | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2013-07-16 |
| 1679847503 | Dlp Twin County Regional Healthcare LLC | Medicare Defined Swing Bed Unit | 200 Hospital Dr, Galax, VA 24333-2227 | 2012-02-23 |
| 1831412030 | Clinch Valley Medical Center, Inc. | Medicare Defined Swing Bed Unit | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2010-03-03 |
| 1346477379 | Carilion Tazewell Community Hospital | Medicare Defined Swing Bed Unit | 141 Ben Bolt Ave, Tazewell, VA 24651-9700 | 2009-06-17 |
| Find all providers with the same taxonomy | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
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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.