PATRICK HOSPITAL, LLC (NPI# 1982858585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982858585 |
Entity Type | Organization |
Organization Name | PATRICK HOSPITAL, LLC |
Other Organization Name | EMERGENCY DEPARTMENT |
Practice Address |
18688 Jeb Stuart Hwy Stuart VA 24171-1559 |
Practice Telephone | 2766948678 |
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 (ADMINISTRATOR) |
Authorized Official Telephone | 2766948678 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Emergency Department | Doing Business As Name - 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 |
1528212123 | Patrick Hospital, LLC | Clinic/Center | 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 |
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 |
1528212123 | Patrick Hospital, LLC | Clinic/Center | 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 |
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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 |
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Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
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1306120175 | Bon Secours St. Francis Medical Center Inc | Clinic/Center | 601 Watkins Centre Pkwy Ste 100, Midlothian, VA 23114-4412 | 2011-09-28 |
1003037227 | Children's National Medical Center | Clinic/Center | 1201 S Eads St, #1808, Arlington, VA 22202-2812 | 2007-05-02 |
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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.