HALIFAX REGIONAL HOSPITAL, INC (NPI# 1841809241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841809241 |
| Entity Type | Organization |
| Organization Name | HALIFAX REGIONAL HOSPITAL, INC |
| Practice Address |
2100 Wilborn Ave South Boston VA 24592-1628 |
| Mailing Address |
2204 Wilborn Ave South Boston VA 24592-1645 |
| Practice Telephone | 4345178022 |
| Mailing Telephone | 7574557395 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | ROBERT A BROERMANN (CFO) |
| Authorized Official Telephone | 7574557020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sentara Halifax Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627486 | Halifax Regional Hospital, Inc | Clinic/Center | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2020-07-30 |
| 1033728803 | Halifax Regional Hospital, Inc | Clinic/Center | 2206 Wilborn Ave, Medical Office Building #1, South Boston, VA 24592 | 2020-07-28 |
| 1154930824 | Halifax Regional Hospital, Inc | Clinic/Center | 115 College St, Clarksville, VA 23927-9125 | 2020-07-28 |
| 1861001539 | Halifax Regional Hospital, Inc | Clinic/Center | 946 N Main St, Chase City, VA 23924-1139 | 2020-07-28 |
| 1851900534 | Halifax Regional Hospital, Inc | Clinic/Center | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 | 2020-07-28 |
| 1891786570 | Halifax Regional Hospital, Inc | Skilled Nursing Facility | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2005-11-02 |
| Street Address |
2100 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412179 | Roger W Browne | Internal Medicine | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2005-07-29 |
| 1164721668 | Anne Jennifer Lombardi | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2011-03-23 |
| 1841488905 | Candace Renee Clocker | Clinic/Center | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2007-10-12 |
| 1659444586 | Halifax Ear Nose and Throat Center PC | Specialist | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2006-11-16 |
| 1578633301 | Jason Channing Coleman | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2006-11-09 |
| 1386612877 | Maria Precious Tangan Torres | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2006-03-09 |
| 1568447688 | Charles Spencer Bibbs | Emergency Medicine | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627486 | Halifax Regional Hospital, Inc | Clinic/Center | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2020-07-30 |
| 1033728803 | Halifax Regional Hospital, Inc | Clinic/Center | 2206 Wilborn Ave, Medical Office Building #1, South Boston, VA 24592 | 2020-07-28 |
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| 1457840183 | Warren Memorial Hospital, Inc. | Clinic/Center | 315 W 10th St Ste 1, Front Royal, VA 22630-2812 | 2018-05-08 |
| 1154857019 | Bath County Community Hospital | Clinic/Center | 713 S Monroe Ave, Covington, VA 24426-1832 | 2017-05-11 |
| 1891154019 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 121 Stacy Dr, Pennington Gap, VA 24277-1929 | 2016-02-16 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1487818902 | St. Mary's Health Wagon | Clinic/Center | 233 Chase St., Clintwood, VA 24228 | 2008-07-14 |
| 1609054733 | Mountain States Health Alliance | Clinic/Center | 16431 Wise Street, Saint Paul, VA 24283-3537 | 2008-01-31 |
| 1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on HALIFAX REGIONAL HOSPITAL, INC.
| 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.