SMYTH COUNTY COMMUNITY HOSPITAL (NPI# 1750433389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750433389 |
| Entity Type | Organization |
| Organization Name | SMYTH COUNTY COMMUNITY HOSPITAL |
| Practice Address |
1152 Snider St Marion VA 24354-4216 |
| Mailing Address |
311 Princeton Rd Johnson City TN 37601-2026 |
| Practice Telephone | 2767829696 |
| Practice Fax Number | 2767829886 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | MARY LYNN KRUTAK (SVP/CFO) |
| Authorized Official Telephone | 4233023374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 009114726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548640717 | Smyth County Community Hospital | General Acute Care Hospital | 1 Health Way, Marion, VA 24354-4225 | 2015-06-03 |
| 1437453081 | Smyth County Community Hospital | Obstetrics & Gynecology | 1112 Snider St, Marion, VA 24354-4216 | 2010-12-22 |
| 1669460952 | Smyth County Community Hospital | Clinic/Center | 1201 Snider St, Marion, VA 24354-4221 | 2005-10-11 |
| 1356347082 | Smyth County Community Hospital | Family Medicine | 7021 West Lee Highway, Rural Retreat, VA 24368-0000 | 2005-06-27 |
| 1184620072 | Smyth County Community Hospital | Internal Medicine | 1118 Snider Street, Marion, VA 24354 | 2005-06-24 |
| 1174529242 | Smyth County Community Hospital | Clinic/Center | 636 S Monte Vista Dr, Glade Spring, VA 24340-2712 | 2005-06-23 |
| 1851397897 | Smyth County Community Hospital | Assisted Living Facility | 100 Francis Marion Ln, Marion, VA 24354-2629 | 2005-06-23 |
| 1134125438 | Smyth County Community Hospital | Home Health | 1205 Snider St, Marion, VA 24354-4221 | 2005-06-22 |
| 1073519377 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2005-06-22 |
| 1194104687 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SMYTH COUNTY COMMUNITY HOSPITAL | 245 Medical Park Dr, Marion, VA 24354-1100 |
| Virginia Business Entities | Smyth County Community Hospital | 245 Medical Park Drive, Marion, Virginia 24354 |
| Street Address |
1152 SNIDER ST |
| City | MARION |
| State | VA |
| Zip Code | 24354-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376991083 | Kelley K Haga | Physical Therapy Assistant | 1152 Snider St, Marion, VA 24354-4216 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1891043717 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3495 7th Ave, Marion, IA 52302-3735 | 2012-08-27 |
| 1073883880 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3820 S Western Ave, Marion, IN 46953-4901 | 2012-01-10 |
| 1063716728 | Loving Hands Solutions | Durable Medical Equipment & Medical Supplies | 223 N Mcneely Rd, Marion, AR 72364-9603 | 2011-01-10 |
| 1689801524 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1040 Delaware Ave Ste A, Marion, OH 43302-6416 | 2009-06-18 |
| 1306087820 | Sam's West Inc | Durable Medical Equipment & Medical Supplies | 2709 Walton Way, Marion, IL 62959-4901 | 2009-03-12 |
| 1477731800 | Micheal L Hutchcraft | Durable Medical Equipment & Medical Supplies | 928 W Main St, Marion, IL 62959-1840 | 2008-02-07 |
| 1306022322 | Southern Illinois Surgical Appliance Company | Durable Medical Equipment & Medical Supplies | 8305 Express Dr. C, Marion, IL 62959-6359 | 2008-01-22 |
| 1457534125 | Marion Family Optometrists, Inc. | Durable Medical Equipment & Medical Supplies | 506 S Washington St, Marion, IN 46953-1961 | 2007-12-17 |
| 1730362617 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 330 N Wabash Ave Ste 100, Marion, IN 46952-2677 | 2007-12-13 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on SMYTH COUNTY COMMUNITY HOSPITAL.
| 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.