Community Health Association

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

COMMUNITY HEALTH ASSOCIATION

Doing business as

Jackson General Hospital

Practice address

122 Pinnell St
Ripley, WV 25271-9101

Phone

(304) 372-2731

Fax

(304) 373-1598

NPI assigned

May 16, 2008

Last updated

Feb 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Greene

Title

Medical Staff Coordinator

Phone

(304) 373-1507

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jackson General Hospital Doing business as

Tax ID family

Community Health Association3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Community Health Association

  dba JGH Therapy and SportsCare

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD tax ID
• Community Health Association

  dba Surgical Associates

  • Surgery Physician
  • Ripley, WV
  • NPI 1992902084
  NPD tax ID

Locations

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1043477235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252710720",
            "telephone_number": "304-373-1519",
            "fax_number": "304-373-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PINNELL ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719101",
            "telephone_number": "304-372-2731",
            "fax_number": "304-373-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "304-373-1507"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-ID",
            "identifier": "3910000963",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trina Leann Clark
• Jami Kay Clay, FNP
• Sabrina Cogar
• Fred Thomas Combs Jr.
• Community Health Association (Jackson General Care Clinic)
• Community Health Association (Jackson General Hospital)
• Community Health Association (Jackson General Clinic)
• Community Health Association
• Community Health Association (Primary Family Care)
• Community Health Association (Jackson General Hospital Anesthesia Department)

• Emergency Medicine Physician in Ripley, WV
• Providers in Ripley, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.