HALIFAX REGIONAL HOSPITAL


Address: 2204 Wilborn Ave, South Boston, VA 24592-1645
Phone: 4345173100

HALIFAX REGIONAL HOSPITAL (NPI# 1992724033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992724033
Entity Type Organization
Organization Name HALIFAX REGIONAL HOSPITAL
Other Organization Name SENTARA HALIFAX REGIONAL HOSPITAL
Practice Address 2204 Wilborn Ave
South Boston
VA 24592-1645
Practice Telephone 4345173100
Practice Fax Number 4345750377
Mailing Telephone 4345173100
Mailing Fax Number 4345750377
Enumeration Date 2006-07-19
Last Update Date 2015-04-09
Authorized Official Name MRS. STEPHANIE W ELLIOTT (COORDINATOR THIRD PARTY PAYERS)
Authorized Official Telephone 4345173156
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246W00000X Technician, Cardiology H1853 VA Technologists, Technicians & Other Technical Service Providers
N 246Q00000X Spec/Tech, Pathology H1853 VA Technologists, Technicians & Other Technical Service Providers
Y 282N00000X General Acute Care Hospital H1853 VA Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
VA 005802334 05
VA 005875251 05
VA 006087701 05
VA 010110041 05
VA 005828902 05
VA 006086675 05
VA 005831300 05
VA 007306628 05
VA 005810922 05
VA 006017738 05
VA 006072097 05
VA 006081011 05
VA 006604510 05
VA 010053871 05
VA 006041736 05
VA 006089526 05
VA 010263867 05

Other Provider/Organization Names

Other Name Type Code
Sentara Halifax Regional Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861565731 Halifax Regional Hospital Pharmacy 2204 Wilborn Ave, South Boston, VA 24592-1645 2006-11-16

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities HALIFAX REGIONAL HOSPITAL INC. 2204 Wilborn Ave, South Boston, Virginia 24592-1645

Office Location

Street Address 2204 WILBORN AVE
City SOUTH BOSTON
State VA
Zip Code 24592-1645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588668842 Halifax Regional Hospital, Inc. General Acute Care Hospital 2204 Wilborn Ave, South Boston, VA 24592-1645 2005-06-02
1871058008 Angeline Marie Davis Nurse Anesthetist, Certified Registered 2204 Wilborn Ave, South Boston, VA 24592-1645 2019-02-01
1063931897 Jon Michael Hughes Nurse Practitioner 2204 Wilborn Ave, South Boston, VA 24592-1645 2017-09-13
1265950646 Mara Olivia Fiorio Dietitian, Registered 2204 Wilborn Ave, South Boston, VA 24592-1645 2017-09-06
1942745526 Alisyn L. Metz Nurse Anesthetist, Certified Registered 2204 Wilborn Ave, South Boston, VA 24592-1645 2017-01-05
1255876835 Andrew D. Metz Nurse Anesthetist, Certified Registered 2204 Wilborn Ave, South Boston, VA 24592-1645 2017-01-05
1942743398 Melaku Akele Physical Therapist 2204 Wilborn Ave, South Boston, VA 24592-1645 2016-12-01
1740730316 Emily Silsby Dietitian, Registered 2204 Wilborn Ave, South Boston, VA 24592-1645 2016-10-07
1023567153 Mulbriar Emergency Physicians LLC Physician Assistant 2204 Wilborn Ave, South Boston, VA 24592-1645 2016-09-30
1205381621 Banister River Emergency Physicians LLC Physician Assistant 2204 Wilborn Ave, South Boston, VA 24592-1645 2016-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154966398 Transformations Center for Health Wellness LLC Counselor 2170 Sandy Beach Road, South Boston, VA 24592 2019-11-12
1740830215 Kirstyn Lokker Occupational Therapist 1 High School Circle, South Boston, South Boston, VA 24592 2019-09-17
1841764248 Nicole Ivey Occupational Therapy Assistant 103 Rosehil Rd, South Boston, VA 24592 2019-01-18
1841700960 Bio-medical Applications of Virginia, Inc. Clinic/Center 130 Aubreys Loop, South Boston, VA 24592 2017-10-03
1659828820 Family Preservation Services, Inc Community/Behavioral Health 1 High School Circle, South Boston, VA 24592 2016-09-06
1316222821 Family and Children Enrichment Services Inc. Health Maintenance Organization 220 Paradise Lane, South Boston, VA 24592 2011-10-15
1326365578 Brinda Howard Nurse's Aide 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 2010-04-28
1356513543 Betts Medical Supplies, LLC. Durable Medical Equipment & Medical Supplies 403 Factory Street, Suite B, South Boston, VA 24592 2008-03-27
1407051873 Dominion Health Medical Assoc Legal Medicine 101 Aubrey's Loop Rd, South Boston, VA 24592 2007-06-18
1437352945 Behavioral Health Associates, Inc. Non-emergency Medical Transport (VAN) 515 Yancey Ave, South Boston, VA 24592 2007-06-11
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205181021 Massachusetts General Hospital General Acute Care Hospital 256 West Sixth Street Apt 2, South Boston, MA 02127 2012-07-18
1588668842 Halifax Regional Hospital, Inc. General Acute Care Hospital 2204 Wilborn Ave, South Boston, VA 24592-1645 2005-06-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538669445 Virginia Hospital Center Arlington Health System General Acute Care Hospital 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 2018-02-16
1871020651 Virginia Internal Medicine Specialists LLC General Acute Care Hospital 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 2017-05-11
1730615816 Sentara Healthcare General Acute Care Hospital 100 Ireland St, Hampton, VA 23663-2150 2017-05-10
1528592573 New York Presbyterian Hospital-weill Cornell General Acute Care Hospital 9644 Sutton Green Ct, Vienna, VA 22181-6105 2017-04-17
1386181733 Lyle Purnell General Acute Care Hospital 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 2017-01-24
1700233855 Debra Hafer General Acute Care Hospital 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 2016-05-18
1093161374 Mawussi Komi General Acute Care Hospital 6271 Drew Dr, Va Beach, VA 23464 2016-05-05
1700248796 Hq Surgical General Acute Care Hospital 905 Hathaway Ct, Chesapeake, VA 23322-7622 2016-03-28
1710355649 Johnston Memorial Hospital, Inc General Acute Care Hospital 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 2015-09-09
1184092298 Anita Sites General Acute Care Hospital Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 2015-09-04
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Competitor

Search similar providers

City SOUTH BOSTON
Zip Code 24592

Improve Information

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Dataset Information

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.

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