Active NPI
Selby General Hospital
- Rural Health Clinic/Center
- Athens, OH
National Provider Identifier
1033089404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- SELBY GENERAL HOSPITAL
- Practice address
- 206 Columbus Rd Ste 200
Athens, OH 45701-1316 - Phone
- (740) 423-3085
- Fax
- (740) 331-6919
- NPI assigned
- Nov 10, 2025
- Organization subpart
- Yes
- Parent organization
- SELBY GENERAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul G Westbrock
- Title
- Legal Affairs
- Phone
- (740) 374-1581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
206 Columbus Rd Ste 200
Athens, OH 45701-1316
Mailing address
416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-6090
Other names 1
- Athens Rural Health Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040108000165 | OH | Part B Supplier - Clinic/Group Practice | 9638087893 |
Receives reassigned benefits from 109 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Athens, OH; Waterford, OH; Vincent, OH; Marietta, OH; Logan, OH; Caldwell, OH |
| O20251216001036 | OH | Part A Provider - Rural Health Clinic | 9638087893 | Practice locations: Athens, OH |
Rural health clinic certification: CCN 363461
- Legal name
- SELBY GENERAL HOSPITAL
- Doing business as
- ATHENS RURAL HEALTH CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Mar 25, 2026
- Last certification
- May 4, 2026
- Ownership / control type
- 2B
- Organization structure
- Corporation
- Enrollment address
- 206 Columbus Rd
Ste 200
Athens, OH 45701-1316 - Related CCNs
- 361319
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
Other NPIs with the same Medicare PAC ID 9
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Marietta, OH
- NPI 1386699197
9638087893
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Selby Family Care
Locations
206 Columbus Rd
Ste Rhc
Athens, OH 45701
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James Barengo | Corporate Officer | Jan 1, 2014 | |
| Sheryl Holdren | Corporate Officer | Jan 1, 2017 | |
| Terry E Rataiczak | Corporate Officer | Jan 1, 2019 | |
| Carol a Schneeberger | Corporate Officer | Jan 1, 2020 | |
| Michael Iaderosa | Corporate Officer | Oct 1, 2002 | |
| Victoria McGee | W-2 Managing Employee | May 1, 2014 | |
| Joseph D Cooper | Corporate Officer | Jan 1, 2003 | |
| Rebekah Gilden | W-2 Managing Employee | Jun 1, 2011 | |
| Paul G Westbrock | Corporate Director | Jun 1, 2000 | |
| Colleen Cook | Corporate Officer | Jan 1, 2010 | |
| Elizabeth a Helmick | Corporate Officer | Feb 1, 2021 | |
| Christopher Alexander Cockerham | Corporate Officer | Jan 1, 2020 | |
| Thomas Danford | Corporate Officer | Jan 1, 2005 | |
| Matthew Pottmeyer | Corporate Officer | Jan 1, 2024 | |
| Hugh Sherman | Corporate Officer | Jan 1, 2024 | |
| Michael Archer | Corporate Officer | Jan 1, 2005 | |
| Gregg M Emerick | Corporate Officer | Jan 1, 2019 | |
| Stephen C Keiser | Corporate Officer | Jan 1, 2019 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Marietta, OH
- NPI 1821020918
Corporate Officer
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Critical Access Hospital
- Marietta, OH
- NPI 1124073465
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Marietta, OH
- NPI 1649587114
-
- Foot & Ankle Surgery Podiatrist
- Belpre, OH
- NPI 1215323084
-
- Family Nurse Practitioner
- Marietta, OH
- NPI 1528361417
-
- Physician Assistant
- Belpre, OH
- NPI 1558557165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1033089404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 COLEGATE DR BLDG 3",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457509549",
"telephone_number": "740-374-6090",
"fax_number": "740-374-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 COLUMBUS RD STE 200",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011316",
"telephone_number": "740-423-3085",
"fax_number": "740-331-6919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELBY GENERAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SELBY GENERAL HOSPITAL",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A",
"authorized_official_last_name": "WESTBROCK",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "LEGAL AFFAIRS",
"authorized_official_telephone_number": "740-374-1581"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Athens Rural Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.