BHRHC GLADE
NPI 1174529242
Clinic/Center - Rural Health in Glade Spring, VA

Active since June 23, 2005CLIA 49D0687929 · Microscopy
636 S MONTE VISTA DR, GLADE SPRING, VA 24340(276) 429-5163(276) 429-5515 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2024, Oct 21, 2021, Dec 30, 2019 and 4 more (7 updates tracked since 2017).

About Bhrhc Glade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BHRHC GLADE (NPI 1174529242) is a healthcare organization registered as a rural health in Glade Spring, Virginia and active in the NPI registry since June 2005. The organization holds a CLIA Microscopy certificate valid through January 28, 2028 and lists Shane Edwin Hilton, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1174529242
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSMYTH COUNTY COMMUNITY HOSPITAL
Location Address636 S MONTE VISTA DRGlade Spring, VA 24340-2712
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (276) 429-5163 · Fax (276) 429-5515
Fax(276) 429-5515
Organization SubpartYes
Authorized OfficialShane Edwin HiltonEvp/cfo · (423) 302-3467
Enumeration DateJune 23, 2005
Last NPPES UpdateApril 16, 20247 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1174529242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in VA · H1902
636 S MONTE VISTA DR, Glade Spring, VA 24340

Other Names 1

Doing Business AsBhrhc Glade

Other Identifiers 1

Medicaid007610131VA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhrhc Glade is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20061213000366Part A · Rural Health ClinicDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bhrhc Glade, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1841807625
636 S MONTE VISTA DR
Glade Spring, VA 24340
(276) 429-5163
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1013544774
12180 ALDER ST
Meadowview, VA 24361
(276) 695-0205
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1578819439
1901 S SHADY STREET
Mountain City, TN 37683
(423) 727-1150
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1316903099
111 W STONE DR STE 200
Kingsport, TN 37660
(423) 723-2030
✔ PECOS✔ Accepts Medicare46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0687929

Bhrhc Glade · Glade Spring, VA
Active · expires Jan 28, 2028
CLIA Number49D0687929
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorJeffrey S. Blackwell
Laboratory Phone(203) 429-5163
Laboratory LocationBhrhc Glade636 S Monte Vista Drive, Glade Spring, VA 24340
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smyth County Community Hospital's NPI number?

The NPI number for Smyth County Community Hospital is 1174529242. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is doing business as Bhrhc Glade.

Where is Smyth County Community Hospital located?

Smyth County Community Hospital is located at 636 S Monte Vista Dr, Glade Spring, VA 24340. The listed phone number is (276) 429-5163.

What is Smyth County Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Smyth County Community Hospital enrolled in Medicare?

Yes. Smyth County Community Hospital is registered in the Medicare PECOS enrollment system.

When is Smyth County Community Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Virginia, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Smyth County Community Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Smyth County Community Hospital, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Smyth County Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0687929) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Smyth County Community Hospital accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Smyth County Community Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Smyth County Community Hospital was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.