PATRICK HOSPITAL, LLC (NPI# 1528212123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528212123 |
Entity Type | Organization |
Organization Name | PATRICK HOSPITAL, LLC |
Other Organization Name | RADIOLOGY |
Practice Address |
18688 Jeb Stuart Hwy Stuart VA 24171-1559 |
Practice Telephone | 2766948655 |
Practice Fax Number | 2766948655 |
Mailing Telephone | 2766948678 |
Mailing Fax Number | 2766948655 |
Enumeration Date | 2008-11-10 |
Last Update Date | 2008-11-10 |
Authorized Official Name | JANICE F WILKINS (ADMINSTRATOR) |
Authorized Official Telephone | 2766948678 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Radiology | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699910695 | Patrick Hospital, LLC | Skilled Nursing Facility | 1270 25th Street Pl Se, Hickory, NC 28602-9613 | 2008-12-05 |
1619121217 | Patrick Hospital, LLC | Clinical Medical Laboratory | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1346494945 | Patrick Hospital, LLC | Hospice Care, Community Based | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1164676763 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1073767679 | Patrick Hospital, LLC | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1982858585 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1386898971 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporation | Patrick Hospital, LLC | 1270 25th Street Place, S E , Hickory, NC 28602 |
Virginia Business Entity | Patrick Hospital, LLC | 1270 25TH ST PL SE , HICKORY, NC 28602 |
Street Address |
18688 JEB STUART HWY |
City | STUART |
State | VA |
Zip Code | 24171-1559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417955212 | Paul C Herger | Nurse Anesthetist, Certified Registered | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2005-07-14 |
1497170567 | Thomasina Engle | Specialist/Technologist | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2014-02-26 |
1366685018 | Pioneer Health Services of Patrick County, Inc | Emergency Medicine | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-10 |
1639311749 | Pioneer Health Services of Patrick County, Inc | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-03 |
1659513893 | Pioneer Health Services of Patrick County, Inc. | General Acute Care Hospital | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-02 |
1619121217 | Patrick Hospital, LLC | Clinical Medical Laboratory | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1346494945 | Patrick Hospital, LLC | Hospice Care, Community Based | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1164676763 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1073767679 | Patrick Hospital, LLC | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
1982858585 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
Find all providers in zip 24171 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376780254 | Stuart Diagnostics Center LLC | Clinic/Center | 2219 Se Ocean Blvd, Stuart, FL 34996-3307 | 2009-01-14 |
1285773176 | Physicians Imaging Center LLC | Clinic/Center | 1050 Se Monterey Road, Suite #102, Stuart, FL 34994 | 2007-02-06 |
1952405219 | Pch Operations, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2006-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346898897 | Viva Richmond LLC | Clinic/Center | 6600 W Broad St Ste 200b, Richmond, VA 23230-1709 | 2019-08-28 |
1699328500 | Fairfax Radiological Consultants PC | Clinic/Center | 8260 Willow Oaks Corporate Dr Ste 200, Fairfax, VA 22031-4515 | 2019-07-19 |
1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
1447538558 | Medarva Imaging | Clinic/Center | 1630 Wilkes Ridge Pkwy Ste 100, Richmond, VA 23233-7460 | 2011-07-25 |
1982995296 | Grafton Ct Imaging LLC | Clinic/Center | 4030 George Washington Mem Hwy Ste A, Grafton, VA 23692-2619 | 2011-04-21 |
1447555115 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 | 2011-01-11 |
1356646004 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 11525 Midlothian Tpke Ste 103, Richmond, VA 23235-4763 | 2011-01-11 |
1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
1801946090 | Patient First Ct, LLC | Clinic/Center | 8247 Meadowbridge Rd, Mechanicsville, VA 23116-2329 | 2007-01-11 |
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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.