NPIMap

Organization Active NPI

West Central Community Hospital

  • General Acute Care Hospital
  • Clinton, IN
National Provider Identifier
1093713802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WEST CENTRAL COMMUNITY HOSPITAL
Practice address
801 S Main St
Clinton, IN 47842-2261
Phone
(765) 832-1234
NPI assigned
Jul 14, 2005
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
Mr. John D Groves
Title
Director Patient Financial Services
Phone
(812) 238-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

801 S Main St
Clinton, IN 47842-2261

Mailing address

801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000577 IN Part A Provider - Critical Access Hospital 8426943614 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clinton, IN

Hospital certification: CCN 151326

Legal name
UNION HOSPITAL INC
Doing business as
UNION HOSPITAL CLINTON
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2005
Last certification
Nov 14, 2012
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
801 S Main St
Clinton, IN 47842-2261
Main/Primary Hospital Location

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

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
Union Hospital ClintonCCN 151326
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 14

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

NameRoleSinceShare
John Aidoo Individual Corporate DirectorBoard Member Jan 1, 2021
Mary Doti Individual Corporate DirectorBoard Member Jan 1, 2018
Tim Sullivan Individual Corporate OfficerAssistant Treasurer Jan 1, 2021
Robert a Coons Individual Corporate OfficerAssist. Treasurer Board of Direct. Oct 1, 2016
Corporate DirectorBoard Member Oct 23, 2014
John C Etling Individual Corporate DirectorBoard Member Jan 1, 2019
Kenneth M Kigorwe Individual Corporate DirectorBoard Member Jan 1, 2023
Luke Terry Individual Corporate OfficerTreasurer Jan 1, 2021
Donald T Scott Individual Corporate OfficerVice Chair of Board Oct 1, 2017
Corporate DirectorBoard Member Oct 23, 2014
Steven M Holman Individual Corporate OfficerPresident and Ceo Apr 30, 2014
W-2 Managing EmployeePresident & Ceo Apr 30, 2014
Richard Templeton Individual Corporate DirectorBoard Member Jan 1, 2024
Sara D Smith Individual Corporate OfficerSecretary Board Oct 1, 2017
Corporate DirectorBoard Member Oct 23, 2014
Molly a Callahan Individual Corporate DirectorBoard Member Oct 1, 1994
Union Hospital Inc Organization, Terre Haute, IN Non-profit 5% Or Greater Direct Ownership Interest Dec 27, 2005 100%
Chirag G Patel Individual Corporate DirectorBoard Member Jan 1, 2026

Owners & managing parties with NPI records 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 245

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

View all 245

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093713802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422261",
            "telephone_number": "765-832-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422261",
            "telephone_number": "765-832-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "812-238-7626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

Verify at the official NPI Registry.