NPIMap

Organization Active NPI

Hospital Development Co.

  • Medicare Defined Swing Bed Hospital Unit
  • Spencer, WV
National Provider Identifier
1063509263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
74 Issued in WV
Legal business name
HOSPITAL DEVELOPMENT CO.
Practice address
200 Hospital Drive
Spencer, WV 25276
Phone
(304) 927-4444
Fax
(304) 927-6807
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Doug Bentz
Title
Ceo
Phone
(304) 927-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 74 WV Primary

Addresses

Primary practice location

200 Hospital Drive
Spencer, WV 25276

Mailing address

200 Hospital Drive
Spencer, WV 25276
Phone (304) 927-4444

Other names 1

  • ROANE GENERAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220829000901 WV Part A Provider - Critical Access Hospital 4183527476 Practice locations: Spencer, WV

Hospital certification: CCN 51Z306

Legal name
HOSPITAL DEVELOPMENT CO.
Organization structure
CorporationNon-profit
Enrollment address
200 Hospital Dr
Spencer, WV 25276-1050
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Kevin Gaughan Individual Corporate Director Mar 6, 2020
Christine Hedges Individual Corporate Director Feb 28, 2011
John Varda Individual Corporate Director May 27, 1999
Douglas Bentz Individual Corporate DirectorEx Officio: Ceo Oct 9, 2000
W-2 Managing EmployeeCeo Oct 9, 2000
Operational/Managerial Control Oct 9, 2000
John Taylor Individual Corporate Director Mar 28, 2002
Robert E. Zdanek Individual Corporate Director Nov 26, 2004
Scott P Duffy Individual Contracted Managing Employee Oct 1, 2016
Corporate Director Nov 1, 2020
Jack Garrett Individual Corporate Director Jun 5, 1995
Gloria Atkinson Individual Corporate Director Sep 24, 2007
William Downey Individual Corporate Director May 24, 2001
Gregory Boggs Individual Corporate Director Sep 24, 2007
Paul Hughes Individual Corporate Director May 28, 1998

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Roane General HospitalSpencer, WV, CCN 515099 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 27, 1970
Jan 27, 1970
Roane General HospitalWalton, WV, CCN 513417 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 3, 2013
Jun 3, 2013
Hospital Development Co.Spencer, WV, CCN 513408 Rural health clinic Operational/Managerial Control Apr 20, 2004
Southern Roane Medical ClinicLeft Hand, WV, CCN 513409 Rural health clinic Operational/Managerial Control Sep 25, 2005
Arnoldsburg Medical ClinicArnoldsburg, WV, CCN 513436 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 1, 2023

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063509263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DRIVE",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "25276",
            "telephone_number": "304-927-4444",
            "fax_number": "304-927-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DRIVE",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "25276",
            "telephone_number": "304-927-4444",
            "fax_number": "304-927-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DEVELOPMENT CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTZ",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-927-4444"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WV",
            "license": "74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROANE GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spencer, WV

Sources for this page

Verify at the official NPI Registry.