NPIMap

Organization Active NPI

Barnesville Hospital Association, Inc.

Doing business as Morristown Family Medicine

  • Rural Health Clinic/Center
  • Belmont, OH
National Provider Identifier
1053999367
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BARNESVILLE HOSPITAL ASSOCIATION, INC.
Doing business as
Morristown Family Medicine
Practice address
66840 Belmont Morristown Rd
Belmont, OH 43718-9665
Phone
(740) 782-1031
NPI assigned
Mar 30, 2021
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Willie Cooper-Lohr
Title
Cfo
Phone
(740) 425-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

66840 Belmont Morristown Rd
Belmont, OH 43718-9665

Mailing address

639 W Main St
Barnesville, OH 43713-1039

Other names 1

  • Morristown Family Medicine Doing business as

Electronic endpoints 3

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211117000903 OH Part A Provider - Rural Health Clinic 9335134592 Practice locations: Belmont, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053999367. Details of each certification follow.

Rural health clinic certification: CCN 363434

Legal name
BARNESVILLE HOSPITAL ASSOCIATION, INC.
Doing business as
MORRISTOWN FAMILY MEDICINE
Certification status
Terminated Voluntary: merger or closure, Apr 1, 2025
Provider type (POS)
Rural health clinic
Participating since
Mar 30, 2022
Last certification
Mar 30, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
May 15, 1940 in OH
Enrollment address
66840 Belmont Morristown Rd
Belmont, OH 43718-9823
Related CCNs
361321

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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0332899Morristown Family Medicine66840 Belmont-Morristown Rd, Belmont, OH 43718Provider-performed microscopyFeb 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Barnesville Hospital3 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.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Michael Silva Individual Corporate DirectorBoard Member Apr 1, 2021
Alex Incian Individual Corporate DirectorDirector Accounting-Controller Mar 20, 2025
W-2 Managing Employee Mar 20, 2025
Albert Wright Individual Operational/Managerial ControlWvuhs President & Ceo Mar 31, 2021
Douglass Harrison Individual Corporate DirectorBoard Member Apr 1, 2021
Thomas Johnson Individual Corporate DirectorBoard Member Apr 1, 2021
Shaun Roe Individual Corporate DirectorBoard Member Apr 1, 2021
Judy Bruno Individual Corporate DirectorPresident & Ceo Mar 20, 2025
W-2 Managing Employee Mar 20, 2025
Garen Rhome Individual Corporate Director Nov 16, 2021
Angela Hannahs Individual Corporate DirectorBoard Member Apr 1, 2021
West Virginia United Health System, Inc Organization, Morgantown, WV Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2021 100%
William Frank Individual Corporate DirectorBoard Member May 1, 1998
Wendy McKivitz Individual Corporate DirectorBoard Member Mar 20, 2025
Kent Gallagher Individual Corporate DirectorChairman Apr 1, 2021
Jonathan Kirkland Individual Corporate DirectorBoard Member Jul 26, 2022
James L Comerci Individual Corporate DirectorBoard Member Aug 13, 2024
Sandi Thompson Individual Corporate DirectorBoard Member Apr 1, 2021
Kenneth Phillips Individual Corporate DirectorBoard Member Apr 1, 2021

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

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1053999367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W MAIN ST",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66840 BELMONT MORRISTOWN RD",
            "city": "BELMONT",
            "state": "OH",
            "postal_code": "437189665",
            "telephone_number": "740-782-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNESVILLE HOSPITAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "COOPER-LOHR",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-425-5116"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "other_names": [
        {
            "organization_name": "Morristown Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morristown Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belmont, OH

Sources for this page

Verify at the official NPI Registry.