Bath County Community Hospital
Organization Active NPI Rural Health Clinic/Center · Millboro, VA
NPI 1114408929 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1114408929
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- H1827 (VA)
- Legal business name
- BATH COUNTY COMMUNITY HOSPITAL
- Practice address
- 432 Church St
Millboro, VA 24460-2132 - Phone
- (540) 997-9219
- Fax
- (540) 839-4831
- NPI assigned
- Aug 29, 2018
- Organization subpart
- No
Authorized official
- Name
- Jane Russell
- Title
- Chief Executive Officer
- Phone
- (540) 839-7123
Owners & managing parties with NPI records 1
-
John D Sedovy, MD
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 14
Related certifications (CCN) 1
Practitioners 29
-
Carrie E Baker, P.A.
-
Pari Barr Baker, LCSW
-
Brian Raymond Barney, CRNA
-
Jonathan Ashby Craun, D.O.
-
Scott James Crosby, M.D.
-
Glen D. Dobbs, PA-C
-
Neil K. Dorsey, M.D.
-
Megan Nicole Douglas, FNP-BC
-
Amy Good, LPC
-
Eric Gutierrez, LPC
-
Angelita D'Arpa Hansford, PA-C
-
Michaela Kern McDaniel, DNP, FNP-C
-
Adrian Dumitru Parasca, M.D.
-
Bert Cody Piggott Jr., M.D.
-
Kimberly Lynne Rexrode, FNP-C
-
John D Sedovy, MD
-
Thomas A Zumsteg, M.D.
-
Todd Blodgett, MD
-
Jeffrey Clark Gersbach, M.D.
-
Stanley Brandon Grover, D.O.
-
Cindy D Mann, APRN FNPBC
-
Amar S Mehta, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2153445 | Bath Community Physicians Group - Millboro | Certificate of waiver | Aug 23, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Rural health clinic certification: CCN 493436
- Legal name
- BATH COUNTY COMMUNITY HOSPITAL
- Doing business as
- BATH COMMUNITY PHYSICIANS GROUP-MILLBORO
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 25, 2019
- Last certification
- Jan 25, 2019
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 30, 1925 in VA
- Enrollment address
- 432 Church St
Millboro, VA 24460-2132 - Related CCNs
- 491300
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen Mills |
Corporate Director |
Apr 1, 2023 | |
| Jane Russell |
Corporate Officer |
Aug 25, 2025 | |
| Ghulam D Qureshi |
Corporate Director |
Apr 4, 2015 | |
| Tim Pistell |
Corporate Director |
Apr 24, 2015 | |
| Christine Worsham |
Corporate Director | Apr 1, 2024 | |
| Susan C Plecker |
W-2 Managing Employee | Jun 1, 2023 | |
| David a Cowden |
Corporate Director |
Dec 1, 2018 | |
| Norm Brinkman |
Corporate Director |
Apr 1, 2024 | |
| Michael Collins |
Corporate Director |
Apr 1, 2022 | |
| Amelia Morgan |
Corporate Director |
Apr 1, 2023 | |
| John D Sedovy |
Corporate Director | Apr 1, 2024 | |
| Meade Snyder |
Corporate Director |
Apr 22, 2016 | |
| Lewis Duffy |
Corporate Director |
Apr 1, 2017 | |
| Scott Robertson |
Corporate Director |
Jun 1, 2022 | |
| Ingrid Barber |
Corporate Director |
Jun 1, 2022 | |
| John B Loeffler |
Corporate Director |
Apr 22, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181116000319 | VA | Part a Provider - Rural Health Clinic | 0840193819 | Practice locations: Millboro, VA |
National Provider Directory
- Tax ID family
- Hayesdouglass MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | H1827 | VA | Yes |
Addresses
Primary practice location
432 Church St
Millboro, VA 24460-2132
Mailing address
PO Box Z
Hot Springs, VA 24445-0750
Phone (540) 839-7197
Other names
- Bath Community Physicians Group Millboro
Other providers in Millboro, VA
- Angela Annette Anderson
- Bath County Community Hospital
- Larry Dean Nycum Sr.
- Shiela Ann Riley
- Turn Key Carpentry
All providers in Millboro, VA · Rural Health Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.