NPIMap

Organization Active NPI

Pleasant Valley Hospital Inc

Doing business as Rivers Health Bend Area Clinic

  • Rural Health Clinic/Center
  • Mason, WV
National Provider Identifier
1083274385
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PLEASANT VALLEY HOSPITAL INC
Doing business as
Rivers Health Bend Area Clinic
Practice address
2007 2ND St
Mason, WV 25260-1269
Phone
(304) 773-5179
Fax
(304) 773-5035
NPI assigned
Jun 18, 2019
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

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

Specialties & licenses 1

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

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 2

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

Electronic endpoints 1

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

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083274385. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jan 25, 2010 in WV
Enrollment address
2007 2ND St
Mason, WV 25260-1269
Related CCNs
510012

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
51D1072503Pleasant Valley Hospital, Inc, Bend Area Clinic2007 Second Street PO Box 340, Mason, WV 25260Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Valley Hosp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

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 DirectorBoard Member Oct 1, 2022
Rocky Sturgeon Individual Corporate DirectorBoard 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 DirectorBoard Member Oct 1, 2022
Robert Tayengco Individual Corporate DirectorBoard Member Oct 1, 2022
Cofer Kayser Individual Corporate DirectorBoard Member Oct 1, 2022
Russell Henchey Individual Corporate OfficerVice President of Finance Jan 1, 2025
Michael Sellards Individual Corporate DirectorBoard Member Oct 1, 2022
Shawn Edward Bastin Individual Corporate Officer Jan 1, 2024
W-2 Managing Employee Jan 1, 2024
Angela Zimmerman Individual Corporate DirectorBoard Member Oct 1, 2022

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 3

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

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

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1083274385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DR",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255502031",
            "telephone_number": "304-675-4340",
            "fax_number": "304-675-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 2ND ST",
            "city": "MASON",
            "state": "WV",
            "postal_code": "252601269",
            "telephone_number": "304-773-5179",
            "fax_number": "304-773-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "304-675-4340"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS edMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rivers Health Bend Area Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bend Area Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mason, WV

Sources for this page

Verify at the official NPI Registry.