NPIMap

Organization Active NPI

Community Health Systems Inc

Doing business as AccessHealth Welch Clinic

  • Gynecology Physician
  • Welch, WV
National Provider Identifier
1104324409
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
COMMUNITY HEALTH SYSTEMS INC
Doing business as
AccessHealth Welch Clinic
Practice address
454 McDowell St
Welch, WV 24801-2029
Phone
(304) 252-8555
NPI assigned
Feb 1, 2018
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Charles Hunt
Title
Ceo
Phone
(304) 252-8324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

454 McDowell St
Welch, WV 24801-2029

Mailing address

101 Bill Baker Way
Beckley, WV 25801-1505

Other names 1

  • AccessHealth Welch Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718000196 WV Part A Provider - Federally Qualified Health Center (FQHC) 6608785795 Practice locations: Welch, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104324409. Details of each certification follow.

Federally qualified health center certification: CCN 511151

Legal name
COMMUNITY HEALTH SYSTEMS INC
Doing business as
ACCESS HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 7, 2018
Last certification
Jun 7, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
454 McDowell St
OB/GYN Suite
Welch, WV 24801

National Provider Directory

National Provider Directory
Tax ID family
Access Health Clear Fork44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Community Health Systems Inc Organization, Beckley, WV Operational/Managerial Control Aug 25, 2017
Charles Hunt Individual Corporate OfficerCeo Apr 17, 2000
W-2 Managing EmployeeCeo Apr 17, 2000

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Community Health Systems IncBeckley, WV, CCN 511159 Federally qualified health center Operational/Managerial Control Oct 1, 2018
AccesshealthBeckley, WV, CCN 511175 Federally qualified health center Operational/Managerial Control Aug 1, 2019
Accesshealth Daniels Elementary SchoolDaniels, WV, CCN 511180 Federally qualified health center Operational/Managerial Control Apr 17, 2000
Community Health Systems IncBeckley, WV, CCN 581840 Federally qualified health center Operational/Managerial Control Apr 17, 2000
Accesshealth Stratton ElementaryBeckley, WV, CCN 581072 Federally qualified health center Operational/Managerial Control Oct 31, 2023

Facilities with the same owner 5

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

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1104324409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BILL BAKER WAY",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258011505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012029",
            "telephone_number": "304-252-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-252-8324"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccessHealth Welch Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Welch, WV

Sources for this page

Verify at the official NPI Registry.