SELBY GENERAL HOSPITAL (NPI# 1386699197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386699197 |
Entity Type | Organization |
Organization Name | SELBY GENERAL HOSPITAL |
Other Organization Name | SWING BED UNIT |
Practice Address |
1106 Colegate Dr Marietta OH 45750-1323 |
Practice Telephone | 7405682040 |
Practice Fax Number | 7405682089 |
Mailing Telephone | 7405682048 |
Mailing Fax Number | 7405682094 |
Enumeration Date | 2006-05-23 |
Last Update Date | 2020-11-02 |
Authorized Official Name | PAIGE SMITH (PRESIDENT) |
Authorized Official Telephone | 7405682000 |
Is Organization Subpart | Y |
Parent Organization Name | SELBY GENERAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0001482000 | 05 | |
OH | 7943257 | 05 |
Other Name | Type Code |
---|---|
Swing Bed Unit | Other Name - Individual/Organization |
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 |
1114970803 | Selby General Hospital | Psychiatric Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2006-05-17 |
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 | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700274818 | Saberhealthcare | Medicare Defined Swing Bed Unit | 1663 Laughton Cir, Broadview Heights, OH 44147-4438 | 2014-12-26 |
1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
1699937144 | Mercy Health-tiffin Hospital, LLC | Medicare Defined Swing Bed Unit | 45 St. Lawrence Dr., Tiffin, OH 44883 | 2008-06-26 |
1386796910 | Medcentral Health System | Medicare Defined Swing Bed Unit | 20 Morris Road, Shelby, OH 44875-0000 | 2007-01-16 |
1720010804 | Hardin Memorial Hospital | Medicare Defined Swing Bed Unit | 921 East Franklin Street, Kenton, OH 43326 | 2006-07-07 |
1114575560 | Adams County Regional Medical Center | Medicare Defined Swing Bed Unit | 230 Medical Center Dr, Seaman, OH 45679-8002 | 2019-08-29 |
1578947818 | Metrohealth | Medicare Defined Swing Bed Unit | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2015-07-16 |
1881092443 | Defiance Hospital Inc | Medicare Defined Swing Bed Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2014-12-15 |
1154699031 | Highland District Hospital | Medicare Defined Swing Bed Unit | 1275 N High St, Hillsboro, OH 45133-8273 | 2011-12-07 |
1003102955 | Trinity Hospital Twin City | Medicare Defined Swing Bed Unit | 819 N 1st St, Dennison, OH 44621-1003 | 2011-06-20 |
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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.