NPIMap

Pleasant Valley Hospital Inc

Organization Active NPI Rural Health Clinic/Center · Mason, WV

NPI 1083274385 · NPPES record last updated Oct 14, 2025

Key facts

NPI
1083274385
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
PLEASANT VALLEY HOSPITAL INC
Practice address
2007 2ND St
Mason, WV 25260-1269
Phone
(304) 773-5179
Fax
(304) 773-5035
NPI assigned
Jun 18, 2019
Organization subpart
No

Authorized official

Name
Tasha Groves
Title
Credentialing Specialist
Phone
(304) 675-4340

Owners & managing parties with NPI records 1

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

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 5

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

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

Facilities with the same owner 5

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

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1072503Pleasant Valley Hospital, Inc, Bend Area Clinic
2007 Second Street PO Box 340, Mason, WV 25260		Certificate of waiverAug 16, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV

Rural health clinic certification: CCN 513422

Legal name
PLEASANT VALLEY HOSPITAL, INC.
Doing business as
RIVERS HEALTH BEND AREA CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 14, 2020
Last certification
May 14, 2020
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Jan 25, 2010 in WV
Enrollment address
2007 2ND St
Mason, WV 25260-1269
Related CCNs
510012

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Edgar Stanton Lanham
Individual 		Corporate Director Feb 1, 2016
Leigh Ann Shepard
Individual 		Corporate Director
Board Member		 Oct 1, 2022
Rocky Sturgeon
Individual 		Corporate Director
Board Member		 Oct 1, 2022
Marshall Health Network Inc
Organization · Huntington, WV
Corporation 		5% Or Greater Direct Ownership Interest Oct 1, 2023
Claire E Cottrill
Individual 		Corporate Director
Board Member		 Oct 1, 2022
Robert Tayengco
Individual 		Corporate Director
Board Member		 Oct 1, 2022
Cofer Kayser
Individual 		Corporate Director
Board Member		 Oct 1, 2022
Russell Henchey
Individual 		Corporate Officer
Vice President of Finance		 Jan 1, 2025
Michael Sellards
Individual 		Corporate Director
Board Member		 Oct 1, 2022
Shawn Edward Bastin
Individual 		Corporate Officer Jan 1, 2024
W-2 Managing Employee Jan 1, 2024
Angela Zimmerman
Individual 		Corporate Director
Board Member		 Oct 1, 2022

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Rivers Health
Point Pleasant, WV · CCN 51T012		 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 27, 2021
Pleasant Valley Home Health
Point Pleasant, WV · CCN 517041		 Home health agency 5% Or Greater Indirect Ownership Interest (10%) Apr 1, 2017
Pleasant Valley Home Health
Gallipolis, OH · CCN 368353		 Home health agency 5% Or Greater Indirect Ownership Interest (10%) Apr 1, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191115002822 WV Part a Provider - Rural Health Clinic 2769390236 Practice locations: Mason, WV

National Provider Directory

Tax ID family
Pleasant Valley Hospital (6 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

2007 2ND St
Mason, WV 25260-1269

Mailing address

2520 Valley Dr
Point Pleasant, WV 25550-2031
Phone (304) 675-4340

Other names

  • Rivers Health Bend Area Clinic Doing business as
  • Bend Area Clinic Other name

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Mason, WV

All providers in Mason, WV · Rural Health Clinic/Center in West Virginia

Sources for this page

Verify at the official NPI Registry.