ST. LUKES PRINCETON LLC (NPI# 1972679553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972679553 |
| Entity Type | Organization |
| Organization Name | ST. LUKES PRINCETON LLC |
| Other Organization Name | ST. LUKE'S HOSPITAL |
| Practice Address |
1333 Southview Dr Bluefield WV 24701-4317 |
| Practice Telephone | 3043272900 |
| Practice Fax Number | 3044877370 |
| Mailing Telephone | 3043272900 |
| Mailing Fax Number | 3044877370 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRANK SINICROPE (CFO) |
| Authorized Official Telephone | 3044877263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 24 | WV | Hospital Units |
| Other Name | Type Code |
|---|---|
| St. Luke's Hospital | Doing Business As Name - Organization |
| Street Address |
1333 SOUTHVIEW DR |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971213 | Nancy Jean Wolverton | Nurse Practitioner | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2005-09-12 |
| 1124507066 | Nathan Alexander Rowe | Nurse Practitioner | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2018-08-10 |
| 1245732262 | Bethany L Gravely | Social Worker | 1333 Southview Dr, Bluefield, WV 24701 | 2018-03-06 |
| 1841634946 | Emily Boothe | Psychiatry & Neurology | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2013-04-20 |
| 1053588376 | Joseph Casey Guthrie | Psychiatry & Neurology | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2008-05-15 |
| 1144303678 | St Luke's Princeton LLC | Nurse Anesthetist, Certified Registered | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-10-20 |
| 1437249620 | Jerry D Aldridge | Nurse Anesthetist, Certified Registered | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-10-16 |
| 1912097114 | Michael G Cipolat | Nurse Anesthetist, Certified Registered | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-10-16 |
| 1063506152 | Thomas J Terrell | Nurse Anesthetist, Certified Registered | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-10-03 |
| 1336189612 | Eugene F Johnson Jr. | Emergency Medicine | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| 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 |
|---|---|---|---|---|
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 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 |
| 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 |
| 1083805790 | Community Health Association | Medicare Defined Swing Bed Unit | 122 Pinnell St, Ripley, WV 25271-9101 | 2007-08-07 |
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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.