RIVERSIDE TAPPAHANNOCK HOSPITAL INC (NPI# 1134271208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134271208 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE TAPPAHANNOCK HOSPITAL INC |
| Other Organization Name | RIVERSIDE TAPPAHANNOCK HOSPITAL |
| Practice Address |
618 Hospital Rd Tappahannock VA 22560-5000 |
| Mailing Address |
606 Denbigh Blvd Suite 800 Newport News VA 23608-4413 |
| Practice Telephone | 8044433311 |
| Practice Fax Number | 8044436150 |
| Mailing Telephone | 7578757545 |
| Mailing Fax Number | 7578757553 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WADE DUDLEY BROUGHMAN (EXECUTIVE VICE PRESIDENT-CFO) |
| Authorized Official Telephone | 7575917019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | H1889 | VA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Riverside Tappahannock Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760580757 | Riverside Tappahannock Hospital Inc | General Acute Care Hospital | 618 Hospital Rd, Tappahannock, VA 22560 | 2006-09-21 |
| 1952405367 | Riverside Tappahannock Hospital Inc | Skilled Nursing Facility | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2006-09-08 |
| 1669478194 | Riverside Tappahannock Hospital Inc | Hospice Care, Community Based | 659 Hospital Rd, Medical Arts Building A, Suite 201, Tappahannock, VA 22560 | 2005-06-21 |
| 1235134123 | Riverside Tappahannock Hospital Inc | Home Health | 856 J Clyde Morris Blvd, Suite C, Newport News, VA 23601-1318 | 2005-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RIVERSIDE TAPPAHANNOCK HOSPITAL INC. | 618 Hospital Rd, Tappahannock, Virginia 22560-5000 |
| Street Address |
618 HOSPITAL RD |
| City | TAPPAHANNOCK |
| State | VA |
| Zip Code | 22560-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031263 | William Michael Lyth | Anesthesiology | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2005-05-23 |
| 1629600523 | Jacqueline R Ambrose | Dietitian, Registered | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2020-02-08 |
| 1518513118 | Lisa Petty | Family Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2019-08-11 |
| 1427571439 | Patrick Bruce Hill | Nurse Practitioner | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2017-07-21 |
| 1760864003 | Mohammed S Abdulghani | Hospitalist | 618 Hospital Rd, Tappahannock, VA 22560 | 2015-06-23 |
| 1295140051 | Mohannad Jabbari | Hospitalist | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2014-06-30 |
| 1003118068 | Yanela Margarita Duenas Milian | Internal Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2010-11-24 |
| 1407015126 | Alexander Oritseretsolaye Ogedegbe | Internal Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2008-06-06 |
| 1275739070 | Thomas Leo Cleary IIi | Emergency Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2007-06-27 |
| 1508911090 | Sharon Outten | Radiology | 618 Hospital Rd, Tappahannock Hospital, Tappahannock, VA 22560-5000 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668456 | Amy Annette Wilson | Nurse Practitioner | Tappahannock Primary Care, 1362 Tappahannock Blvd, Tappahannock, VA 22560 | 2019-03-14 |
| 1235655259 | Margaret Johnson | Driver | 145 Fernlea Road, Rte 628, Tappahannock, VA 22560 | 2017-08-22 |
| 1326576448 | Vanessa Burns | Specialist/Technologist | 109 Cross Street, Tappahannock, VA 22560 | 2017-06-02 |
| 1043756349 | Katherine Blake Slusser | Health Educator | 807 Wakefield Ave, Tappahannock, VA 22560 | 2017-01-10 |
| 1548716400 | New Century Hospice of Richmond, LLC | Hospice Care, Community Based | 221 Duke Street, Tappahannock, VA 22560 | 2016-08-31 |
| 1831513688 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1396 B Tappahannock Boulevard, Tappahannock, VA 22560 | 2014-02-14 |
| 1487946232 | Essex County Ems | Ambulance | 205 Cross St, Tappahannock, VA 22560 | 2011-05-12 |
| 1154611127 | Kristin M Smith | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-12 |
| 1790920684 | Tappahannock Rescue Squad, Inc | Ambulance | 303 Duke St, Tappahannock, VA 22560 | 2008-12-08 |
| 1841314440 | Essex Physical Therapy, Inc. | Physical Therapist | 900 South Church Ln, Tappahannock, VA 22560 | 2007-03-19 |
| Find all providers in zip 22560 | ||||
| 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 | TAPPAHANNOCK |
| Zip Code | 22560 |
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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.