NPIMap

Organization Active NPI

Grafton City Hospital Inc

  • General Practice Physician
  • Grafton, WV
National Provider Identifier
1033264387
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GRAFTON CITY HOSPITAL INC
Practice address
1 Hospital PLZ
Grafton, WV 26354-1283
Phone
(304) 265-7406
Fax
(304) 265-6419
NPI assigned
Jan 25, 2007
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Boyles
Title
Interim Ceo
Phone
(304) 265-7151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1 Hospital PLZ
Grafton, WV 26354-1283

Mailing address

1 Hospital PLZ
Grafton, WV 26354-1283
Phone (304) 265-7406

Other identifiers 1

IdentifierTypeStateIssuer
3330106001MedicaidWV

Other names 1

  • TYGART VALLEY PROFESSIONAL FEES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513000160 WV Part B Supplier - Clinic/Group Practice 7719897263 Receives reassigned benefits from 49 practitioners
1 other NPI on this enrollment
Practice locations: Grafton, WV

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/grafton-33215f04

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grafton City Hospital, Inc.Grafton, WV, CCN 51Z307 Hospital Operational/Managerial Control Feb 23, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1033264387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541283",
            "telephone_number": "304-265-7406",
            "fax_number": "304-265-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541283",
            "telephone_number": "304-265-7406",
            "fax_number": "304-265-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAFTON CITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "304-265-7151"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3330106001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TYGART VALLEY PROFESSIONAL FEES",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TYGART VALLEY PROFESSIONAL FEES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grafton, WV

Sources for this page

Verify at the official NPI Registry.