War Memorial Hospital, Inc.
Organization Active NPI Rural Health Clinic/Center · Berkeley Springs, WV
NPI 1013489541 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1013489541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- WAR MEMORIAL HOSPITAL, INC.
- Practice address
- 3774 Valley Road
Berkeley Springs, WV 25411 - Phone
- (304) 258-9433
- NPI assigned
- Dec 21, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- WAR MEMORIAL HOSPITAL, INC.
Authorized official
- Name
- Jill Chambers
- Title
- Manager Insurance Credentialing
- Phone
- (540) 536-0231
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 9
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 46
-
Doris Faye Burkey, MSN, CFNP
-
Rabia Qaiser, M.D.
-
Saif Al-Najafi, M.D.
-
Zaid Akram Hammoodi, M.D.
-
Daniel Christian Hobbs, M.D.
-
Edward Martin Leitz, M.D.
-
Cornelius Israel Strait, CRNP
-
Wissam Sabri Zaeeter, M.D.
-
Jordan Freeland, DO
-
Joseph Hashem, MD
-
Peter Gregory Baltusnik, M.D.
-
Sonya C Seccurro, M.D.
-
Rashid Ehsan, MD
-
James Evans, M.D.
-
Jeffrey A Skiles, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0865385 | Valley Health War Memorial Hospital | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV
Rural health clinic certification: CCN 513420
- Legal name
- WAR MEMORIAL HOSPITAL, INC.
- Doing business as
- VALLEY HEALTH WAR MEMORIAL HOSPITAL INTERNAL MEDICINE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Apr 26, 2019
- Last certification
- Apr 26, 2019
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 8, 2010 in WV
- Enrollment address
- 3774 Valley Rd
Berkeley Springs, WV 25411-4614 - Related CCNs
- 511309
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Robert M Amos |
Corporate Officer | Oct 4, 2009 | |
| East Mountain Health Advantage Inc |
5% Or Greater Direct Ownership Interest | Mar 31, 2010 | |
| Valley Health System |
5% Or Greater Direct Ownership Interest | Mar 31, 2010 | |
| Jill Chambers |
W-2 Managing Employee | Sep 1, 2017 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Valley Health Home Health/West Virginia |
Home health agency | 5% Or Greater Direct Ownership Interest (33.3%) | Mar 31, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100707000462 | WV | Part B Supplier - Clinic/Group Practice | 1355479460 |
Receives reassigned benefits from 158 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Berkeley Springs, WV |
| O20190301000325 | WV | Part a Provider - Rural Health Clinic | 1355479460 | Practice locations: Berkeley Springs, WV |
National Provider Directory
- Tax ID family
- Community Physicians of War Memorial
- Part of
- Community Physicians of War Memorial
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
3774 Valley Road
Berkeley Springs, WV 25411
Mailing address
220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100
Other names
- Valley Health Primary Care Berkeley Springs
- Valley Health War Memorial Hospital Internal Medicine
Other providers in Berkeley Springs, WV
- Mandi Waid
- Walgreen Co
- Zengxian Wang
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- War Memorial Hospital, Inc.
- War Memorial Hospital, Inc.
- War Memorial Hospital, Inc.
All providers in Berkeley Springs, WV · Rural Health Clinic/Center in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.