PHC-MARTINSVILLE, INC. (NPI# 1043387939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043387939 |
| Entity Type | Organization |
| Organization Name | PHC-MARTINSVILLE, INC. |
| Other Organization Name | MEMORIAL HOSPITAL OF MARTINSVILLE AND HENRY COUNTY |
| Practice Address |
320 Hospital Dr Martinsville VA 24112-1900 |
| Mailing Address |
103 Powell Ct Ste. 200 Brentwood TN 37027-5079 |
| Practice Telephone | 2766667200 |
| Practice Fax Number | 2766667600 |
| Mailing Telephone | 6153728500 |
| Mailing Fax Number | 6153728572 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM M. GRACEY (COO) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BLACK LUNG | 00301109 | 01 |
| VA | 4900791 | 05 | |
| VA | ANTHEM BLUE CROSS | 442271 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Hospital of Martinsville and Henry County | Doing Business As Name - Organization |
| Street Address |
320 HOSPITAL DR |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071378 | David William Roycroft | Pathology | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2005-05-25 |
| 1902420250 | Joshua Colby Lawson | Physician Assistant | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2020-06-02 |
| 1962032854 | Ashley H Williams | Nurse Practitioner | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2020-01-21 |
| 1851939466 | Bryan Cecil Patraw | Registered Nurse | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2019-12-13 |
| 1548820244 | Joseph Wellar Anderson | Health Educator | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2019-06-17 |
| 1356805188 | Rachel Marie Moline | Nurse Anesthetist, Certified Registered | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2019-01-25 |
| 1770057564 | Casey Brown | Dietitian, Registered | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2019-01-15 |
| 1487137931 | Rebekah Fine | Physician Assistant | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2018-09-11 |
| 1326529314 | Peter J Mannen | Emergency Medicine | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2018-08-27 |
| 1871087510 | Rochelle N Gerber | Emergency Medical Technician, Paramedic | 320 Hospital Dr, Martinsville, VA 24112 | 2018-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386720183 | Danville Regional Medical Center LLC | General Acute Care Hospital | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811125404 | Montgomery Regional Hospital | General Acute Care Hospital | 722 Park St, Christiansburg, VA 24073-3137 | 2009-06-23 |
| 1619076916 | Shore Health Services Inc. | General Acute Care Hospital | 20480 Market St, Onancock, VA 23417 | 2006-09-22 |
| 1962504019 | Norton-hma Inc | General Acute Care Hospital | Third Street N.e., Norton, VA 24273 | 2006-09-01 |
| 1336103738 | Community Memorial Hospital | General Acute Care Hospital | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-04-13 |
| 1538668116 | Lee County Medical Center,llc | General Acute Care Hospital | 127 Health Care Dr, Pennington Gap, VA 24277-2853 | 2018-02-08 |
| 1730596933 | Centra | General Acute Care Hospital | 800 Oak St, Farmville, VA 23901-1199 | 2014-07-20 |
| 1275963530 | Cardiology Clinic | General Acute Care Hospital | 1045 Main St, Suite 1, Danville, VA 24541-1800 | 2013-11-22 |
| 1134451651 | Fauquier Health | General Acute Care Hospital | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2010-02-09 |
| 1427388941 | Twin County Regional Hospital | General Acute Care Hospital | 200 Hospital Dr, Galax, VA 24333-2227 | 2010-01-06 |
| 1518119817 | Bonsecours | General Acute Care Hospital | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2008-10-17 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.