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SENTARA HALIFAX REGIONAL HOSPITAL
NPI 1992724033
General Acute Care Hospital in South Boston, VA

Active since July 19, 2006CLIA Certified · 2 labs
2204 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3100(434) 575-0377 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sentara Halifax Regional Hospital NPPES

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

SENTARA HALIFAX REGIONAL HOSPITAL (NPI 1992724033) is a healthcare organization registered as a general acute care hospital in South Boston, Virginia and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Stephanie W Elliott, Coordinator Third Party Payers, as its authorized official.

NPPES Registry Identity

NPI1992724033
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameHALIFAX REGIONAL HOSPITAL
Location Address2204 WILBORN AVESouth Boston, VA 24592-1645
Mailing Address2204 Wilborn AveSouth Boston, VA 24592-1645 · (434) 517-3100 · Fax (434) 575-0377
Phone(434) 517-3100
Fax(434) 575-0377
Organization SubpartNo
Authorized OfficialStephanie W ElliottCoordinator Third Party Payers · (434) 517-3156
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 9, 2015
✔ NPI 1992724033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in VA · H1853
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.
Also ListedSpecialist/Technologist, PathologyTaxonomy 246Q00000X · License H1853 (VA)
Also ListedTechnician, CardiologyTaxonomy 246W00000X · License H1853 (VA)
2204 WILBORN AVE, South Boston, VA 24592
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Other Names 1

Doing Business AsSentara Halifax Regional Hospital

Other Identifiers 17

Medicaid005810922VA
Medicaid005831300VA
Medicaid006017738VA
Medicaid006087701VA
Medicaid007306628VA
Medicaid010053871VA
Medicaid010263867VA
Medicaid006072097VA
Medicaid006086675VA
Medicaid010110041VA
Medicaid005802334VA
Medicaid005828902VA
Medicaid006081011VA
Medicaid006604510VA
Medicaid005875251VA
Medicaid006041736VA
Medicaid006089526VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 of Accreditation 49D0233332

Sentara Halifax Regional Hospital Lab · South Boston, VA
Active · expires Feb 27, 2027
CLIA Number49D0233332
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. John M. Salmon
Laboratory Phone(804) 575-3231
Laboratory LocationSentara Halifax Regional Hospital Lab2204 Wilborn Ave Attn Ed Agricola, South Boston, VA 24592
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 49D2176341

Sentara Halifax Regional Hospital-Behavioral Health Department · South Boston, VA
Active · expires Dec 11, 2027
CLIA Number49D2176341
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorGregory Weiss
Laboratory Phone(434) 517-3885
Laboratory LocationSentara Halifax Regional Hospital-Behavioral Health Department504 Wilborn Avenue, South Boston, VA 24592
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALIFAX REGIONAL HOSPITAL, INC.
Hospice Care, Community Based
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
MULBRIAR EMERGENCY PHYSICIANS LLC
Emergency Medicine
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (469) 401-2386
SOUZA & ASSOCIATES, INC., P.C.
Specialist
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3139
JON M HUGHES NP
Nurse Practitioner (Family)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
HALIFAX REGIONAL HOSPITAL, INC.
Durable Medical Equipment & Medical Supplies
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
DOMINION HEALTH MEDICAL ASSOC
Clinic/Center (Emergency Care)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3529
ROBERT METZ RN
Registered Nurse (Critical Care Medicine)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3134
ELMER C SAN PEDRO MD
Radiology (Diagnostic Radiology)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3187

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 Halifax Regional Hospital's NPI number?

The NPI number for Halifax Regional Hospital is 1992724033. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Sentara Halifax Regional Hospital.

Where is Halifax Regional Hospital located?

Halifax Regional Hospital is located at 2204 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3100.

What is Halifax Regional Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Halifax Regional Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Halifax Regional Hospital was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.