POCAHONTAS MEMORIAL HOSPITAL (NPI# 1871534958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871534958 |
| Entity Type | Organization |
| Organization Name | POCAHONTAS MEMORIAL HOSPITAL |
| Practice Address |
150 Duncan Rd Buckeye WV 24924 |
| Practice Telephone | 3047997400 |
| Practice Fax Number | 3047996636 |
| Mailing Telephone | 3047997400 |
| Mailing Fax Number | 3047996636 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | SHANNON RUTH STARCHER (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 3047997400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
16 | WV | Hospitals |
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BLUE CROSS | 000310321 | 01 |
| WV | 3810000534 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985715 | Pocahontas Memorial Hospital | Clinic/Center | 10 Snowshoe Dr, Snowshoe, WV 26209-1700 | 2020-02-26 |
| 1972136786 | Pocahontas Memorial Hospital | Clinic/Center | 16023 Cass Rd, Cass, WV 24927-9136 | 2020-02-20 |
| 1821621632 | Pocahontas Memorial Hospital | Clinic/Center | 57 Duncan Rd, Buckeye, WV 24924-9044 | 2020-02-20 |
| 1346523206 | Pocahontas Memorial Hospital | Clinic/Center | 150 Duncan Rd, Buckeye, WV 24924 | 2011-09-27 |
| 1023390036 | Pocahontas Memorial Hospital | General Acute Care Hospital | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2011-09-15 |
| 1831394949 | Pocahontas Memorial Hospital | Ambulance | Rr 2 Box 52w, Buckeye, WV 24924-9643 | 2007-06-19 |
| 1104020163 | Pocahontas Memorial Hospital | Emergency Medicine | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2007-06-13 |
| 1609842251 | Pocahontas Memorial Hospital | General Acute Care Hospital | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2006-02-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | POCAHONTAS MEMORIAL HOSPITAL (INC) | 150 Duncan Road, Buckeye, WV 24924-9037 |
| Street Address |
150 DUNCAN RD |
| City | BUCKEYE |
| State | WV |
| Zip Code | 24924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704678 | John M Johnson | General Practice | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2005-10-17 |
| 1164061404 | Christopher Ryan Reece | Nurse Practitioner | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2020-01-03 |
| 1376038489 | Katherine Mae Pugh | Occupational Therapist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2018-06-30 |
| 1699289884 | Melanie Kay Taylor | Physical Therapist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2017-11-27 |
| 1114475456 | Karen Sue Melton | Nurse Practitioner | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2016-09-15 |
| 1104284157 | Jason L. Riffe | Physical Therapy Assistant | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2016-02-05 |
| 1104293794 | Joshua Alan Rhodes | Physician Assistant | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2015-08-31 |
| 1780082990 | Kathleen Brown | Dietitian, Registered | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2014-12-22 |
| 1891193686 | Marianna Grudziak | Physical Therapist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2014-12-11 |
| 1740616853 | Thomas Melko | Specialist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194173823 | Zachary Grimes | Student in an Organized Health Care Education/Training Program | 44 Bardstown Ln, Buckeye, WV 24924 | 2016-06-03 |
| 1215963806 | Luis E Soriano | Family Medicine | Duncan Road, Buckeye, WV 24924 | 2006-06-24 |
| 1669996112 | Melody Leighton Walkup | Physical Therapist | 1112 Spruce Flat Rd, Buckeye, WV 24924-9010 | 2017-07-26 |
| 1417952565 | Terry Linn Thomas | Emergency Medicine | 150 Duncan Road, Buckeye, WV 24924-9037 | 2005-06-16 |
| 1487901765 | Donna Lidel Burley | Nurse Practitioner | 150 Duncan Road, Buckeye, WV 24924-9037 | 2012-08-06 |
| 1104113190 | Julie D. Leyzorek Hare | Family Medicine | 150 Duncan Road, Buckeye, WV 24924-9037 | 2011-06-29 |
| 1588827661 | Heather Mangels Pace | Speech-Language Pathologist | 150 Duncan Road, Buckeye, WV 24924-9037 | 2008-07-08 |
| 1447313762 | Isaac G Alexis | General Practice | 150 Duncan Road, Buckeye, WV 24924-9037 | 2006-12-18 |
| 1063572717 | Teresa Moore Wagner | Registered Nurse | 150 Duncan Road, Buckeye, WV 24924-9037 | 2006-12-11 |
| 1912200783 | Angela Lester | Counselor | 57 Duncan Rd, Buckeye, WV 24924-9044 | 2010-12-16 |
| Find all providers in zip 24924 | ||||
| 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 |
|---|---|---|---|---|
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 1649277476 | Community Health Association | Medicare Defined Swing Bed Unit | 122 Pinnell Street, Ripley, WV 25271-0720 | 2005-07-07 |
| 1730788399 | Marietta Memorial Hospital of Tyler County Inc | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 1376175240 | Wetzel County Hospital, Inc. | Medicare Defined Swing Bed Unit | 3 E Benjamin Dr, New Martinsville, WV 26155-2758 | 2020-02-10 |
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 1407223571 | Lindsey M Tabor | Medicare Defined Swing Bed Unit | 324 Miller Mountain Dr, Webster Springs, WV 26288-1065 | 2015-08-25 |
| 1104242569 | Jefferson Memorial Hospital | Medicare Defined Swing Bed Unit | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-10 |
| 1982836326 | Montgomery General Hospital, Inc | Medicare Defined Swing Bed Unit | 401 Sixth Avenue, Montgomery, WV 25136-2116 | 2009-08-19 |
| 1437391414 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 1 Hospital Dr, Petersburg, WV 26847-9549 | 2009-04-06 |
| Find all providers with the same taxonomy | ||||
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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.