SELBY GENERAL HOSPITAL (NPI# 1114970803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114970803 |
| Entity Type | Organization |
| Organization Name | SELBY GENERAL HOSPITAL |
| Practice Address |
1106 Colegate Dr Marietta OH 45750-1323 |
| Practice Telephone | 7405682048 |
| Practice Fax Number | 7405682089 |
| Mailing Telephone | 7405682048 |
| Mailing Fax Number | 7405682094 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | MR. STEVE SMITH (PRESIDENT) |
| Authorized Official Telephone | 7405682040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001482000 | 05 | |
| OH | 7943257 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497135412 | Selby General Hospital | Rehabilitation Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2015-06-04 |
| 1265622831 | Selby General Hospital | General Acute Care Hospital | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2007-07-30 |
| 1124073465 | Selby General Hospital | General Acute Care Hospital | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2006-05-24 |
| 1386699197 | Selby General Hospital | Medicare Defined Swing Bed Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2006-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELBY GENERAL HOSPITAL | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Street Address |
1106 COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979291 | Stephen R Mosberg | Emergency Medicine | 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 | 2005-08-12 |
| 1497135412 | Selby General Hospital | Rehabilitation Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2015-06-04 |
| 1487093647 | Niju Baby Narakathu | Hospitalist | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2013-06-21 |
| 1780982991 | Tiffany Ginger May Liean Heu | Emergency Medicine | 1106 Colegate Dr, Emergency Department, Marietta, OH 45750 | 2011-03-11 |
| 1346576956 | Victoria Yulan Tong | Emergency Medicine | 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 | 2009-11-02 |
| 1518133776 | Sajid Pervaiz | Family Medicine | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2008-05-07 |
| 1417140500 | Ellen Sue Mingus | Dietitian, Registered | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2007-08-22 |
| 1265622831 | Selby General Hospital | General Acute Care Hospital | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2007-07-30 |
| 1669581880 | Joseph Alexander Mack | Hospitalist | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2006-08-30 |
| 1649388604 | Elbert John Nash | Emergency Medicine | 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 | 2006-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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|---|---|---|---|---|
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| 1073568994 | Windsor Hospital | Psychiatric Unit | 115 E Summit St, Chagrin Falls, OH 44022-2711 | 2006-05-23 |
| 1457314502 | Medical University of Ohio At Toledo | Psychiatric Unit | 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 | 2006-04-10 |
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
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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.