NPIMap

Organization Active NPI

West Virginia Health Care Cooperative Inc

Doing business as Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
National Provider Identifier
1043778319
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
WEST VIRGINIA HEALTH CARE COOPERATIVE INC
Doing business as
Summersville Regional Medical Center
Practice address
400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone
(304) 872-8402
NPI assigned
Mar 6, 2019
Last updated
Oct 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Authorized official

Name
Ms. Karen L Bowling
Title
President/Ceo
Phone
(304) 872-8402

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
Critical Access Hospital 282NC0060X NU Primary
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

400 Fairview Heights Rd
Summersville, WV 26651-9308

Mailing address

400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone (304) 872-8402

Other names 1

  • Summersville Regional Medical Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH
CONNECT URL https://www.mettles.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190531001788 WV Part A Provider - Critical Access Hospital 9830431030 Receives reassigned benefits from 140 practitioners
1 other NPI on this enrollment
Practice locations: Summersville, WV
O20220916001340 WV Part A Provider - Critical Access Hospital 9830431030 Receives reassigned benefits from 1 practitioner
Practice locations: Summersville, WV

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1043778319. Details of each certification follow.

Hospital certification: CCN 511322

Legal name
WEST VIRGINIA HEALTH CARE COOPERATIVE INC
Doing business as
SUMMERSVILLE REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2019
Last certification
Jun 19, 2024
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2019 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 9, 1984 in WV
Enrollment address
400 Fairview Heights Road
Summersville, WV 26651-9308

Hospital certification: CCN 51Z322

Legal name
WEST VIRGINIA HEALTH CARE COOPERATIVE INC
Doing business as
SUMMERSVILLE REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
400 Fairview Heights Rd
Summersville, WV 26651-9308
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Summersville Regional Medical CenterCCN 511322 · All quality measures
Overall star rating
2 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David F Hess Individual Corporate DirectorBoard Member May 21, 2026
Melissa Marshall Individual Corporate DirectorBoard Member May 21, 2026
Gregory Sproles Individual Corporate DirectorBoard Member Mar 21, 2024
Corporate Director Mar 21, 2024
John Foster Individual Corporate DirectorBoard Member Jan 18, 2023
Corporate Director Nov 16, 2023
Forest Hannah Individual Corporate OfficerCfo May 21, 2026
W-2 Managing EmployeeCfo May 21, 2026
Operational/Managerial ControlCfo May 21, 2026
Leslie Lawson Individual Contracted Managing EmployeePresident/Ceo May 21, 2026
Corporate OfficerPresident/Ceo May 21, 2026
W-2 Managing EmployeePresident/Ceo May 21, 2026
Jamberlyn Antoline Individual Corporate DirectorBoard Member May 21, 2026
Corporate Director Apr 1, 2022
West Virginia United Health System, Inc Organization, Morgantown, WV Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Bradley Willis Individual Corporate DirectorBoard Member Jan 1, 2023
Corporate Director Jan 1, 2023
Wayne Young Individual Corporate DirectorBoard Member Nov 16, 2023
Corporate Director Nov 16, 2023
Deborah Burge Individual W-2 Managing EmployeeMGR ENT Patient Fin Services Jun 1, 2021
Russell L. Plywaczynski Individual W-2 Managing Employee Mar 24, 2024
John C Forester Individual W-2 Managing EmployeeInterim President/Ceo Jun 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 52

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 52

Practitioners & affiliated clinicians

Practitioners 158

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 158

Affiliated clinicians 229

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 229

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697846400000",
    "number": "1043778319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA HEALTH CARE COOPERATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "304-872-8402",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Parkway",
            "address_2": "Suite 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Summersville Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summersville Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.