HOSPITAL DEVELOPMENT CO (NPI# 1639423411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639423411 |
| Entity Type | Organization |
| Organization Name | HOSPITAL DEVELOPMENT CO |
| Other Organization Name | WALTON MEDICAL CLINIC |
| Practice Address |
94 School Dr Walton WV 25286-9774 |
| Mailing Address |
200 Hospital Dr Spencer WV 25276-1050 |
| Practice Telephone | 3045776815 |
| Practice Fax Number | 3045776816 |
| Mailing Telephone | 3049274444 |
| Mailing Fax Number | 3049276837 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | DOUGLAS E BENTZ (CEO) |
| Authorized Official Telephone | 3049276200 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROANE GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 74 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | PTAN | 513417 | 01 |
| Other Name | Type Code |
|---|---|
| Walton Medical Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316298250 | Hospital Development Co | Family Medicine | 94 School Dr, Walton, WV 25286-9774 | 2012-10-01 |
| 1790745677 | Hospital Development Co | Clinic/Center | 1 Library Ln, Left Hand, WV 25251-9745 | 2006-03-24 |
| 1184721581 | Hospital Development Co | Anesthesiology | 200 Hospital Dr, Spencer, WV 25276-1050 | 2006-09-20 |
| 1790745172 | Hospital Development Co | Clinic/Center | 200 Hospital Dr, Spencer, WV 25276-1050 | 2006-03-28 |
| 1811958267 | Hospital Development Co | Skilled Nursing Facility | 200 Hospital Dr, Spencer, WV 25276-1050 | 2006-03-28 |
| 1922068469 | Hospital Development Co | Clinic/Center | 200 Hospital Dr, Spencer, WV 25276-1050 | 2006-03-27 |
| 1316907322 | Hospital Development Co | General Acute Care Hospital | 200 Hospital Dr, Spencer, WV 25276-1050 | 2006-03-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | HOSPITAL DEVELOPMENT CORPORATION | 350 Longwood Ave., Boston, MA 02115 |
| Street Address |
94 SCHOOL DR |
| City | WALTON |
| State | WV |
| Zip Code | 25286-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316298250 | Hospital Development Co | Family Medicine | 94 School Dr, Walton, WV 25286-9774 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455611 | Dustin Allen Huffman | Technician | 2914 Ambler Rdg, Walton, WV 25286-9012 | 2020-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455611 | Dustin Allen Huffman | Technician | 2914 Ambler Rdg, Walton, WV 25286-9012 | 2020-10-19 |
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1205464617 | Alexis S Goodridge | Nurse Practitioner | 13260 Service Road, Walton, KY 41094 | 2020-03-31 |
| 1952946402 | Jennifer Marie Nelson | Doula | 15555 Old Stagecoach Rd, Walton, OR 97490-9713 | 2019-11-07 |
| 1588208599 | Lori Claypool | Social Worker | 307 N Davis St, Walton, IN 46994-9165 | 2019-11-01 |
| 1790347383 | Eunice I Defalco | Licensed Practical Nurse | 426 E River Rd, Walton, NY 13856-2106 | 2019-07-03 |
| 1912569070 | Nicole Lerouge | Registered Nurse | 4 Camp Ave, Walton, NY 13856-1404 | 2019-06-28 |
| 1760966261 | Samantha Meola | Registered Nurse | 47 Stockton Ave, Walton, NY 13856-1475 | 2018-09-20 |
| 1205329695 | Kara Marie Adkins Gurley | Behavioral Analyst | 12112 Old Lexington Pike, Walton, KY 41094-9702 | 2018-06-11 |
| 1861980401 | Dorothy Louise Howe | Counselor | 1291 Munn Rd, Walton, NY 13856-2282 | 2018-04-30 |
| Find all providers in WALTON | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316298250 | Hospital Development Co | Family Medicine | 94 School Dr, Walton, WV 25286-9774 | 2012-10-01 |
| 1215952544 | Francine Robinson Mosley | Family Medicine | 625 Chestnut Dr Ste 106, Walton, KY 41094-7845 | 2006-07-13 |
| 1699748624 | Otsego Medical Services P.C. | Family Medicine | 6 Franklin Rd, Walton, NY 13856-1214 | 2006-02-09 |
| 1982687901 | Luis Francisco Rodriguez-betancourt | Family Medicine | 42 Griswold St, Walton, NY 13856-1338 | 2005-11-23 |
| 1396743407 | Michael J Freeman | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2005-07-12 |
| 1972050961 | Melissa Diane Larson | Family Medicine | 13260 Service Rd, Walton, KY 41094-9565 | 2016-09-07 |
| 1952565343 | Dove Cai | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2008-07-15 |
| 1245410869 | Joshua A Kadetz | Family Medicine | 625 Chestnut Dr, Walton, KY 41094-7845 | 2007-11-12 |
| 1568546182 | Valentina Davydov | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2006-10-24 |
| 1538264346 | Vadim Davydov | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2006-09-14 |
| Find all providers in WALTON | ||||
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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.