Minnie Hamilton Health Care Center, Inc.
Organization Active NPI Critical Access Hospital · Grantsville, WV
NPI 1124029400 · NPPES record last updated Apr 18, 2012
Key facts
- NPI
- 1124029400
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 150 (WV)
- Legal business name
- MINNIE HAMILTON HEALTH CARE CENTER, INC.
- Practice address
- 186 Hospital Drive
Grantsville, WV 26147-7100 - Phone
- (304) 354-9244
- Fax
- (304) 354-9323
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen S. Whited
- Title
- Cfo/Coo
- Phone
- (304) 354-9244
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 4
Practitioners 45
-
Dawn Marie Bailey, MSW, LCSW
-
Suresh Balasubramony, M.D.
-
Shane Bowen, MD
-
Kimberly Ann Collins-Houchin, FNP-BC
-
Lisa Michele Cottrill, NURSE PRACTITIONER C
-
Steven Eshenaur, DO
-
Jason B Fincham, DO
-
Jessica Ann Fitzwater, FNP-C
-
Aaron M Frymier, DO
-
Corrie Elizabeth Grogg, WHNP-BC, FNP-C
-
Roshan Ally Hussain, M.D
-
Mandi Jo Johnson, FNP-BC
-
Janie Lee Knotts, PA-C
-
Emily Ayers Koella, APRN
-
Danielle Brooke Lancaster, PHYSICIAN ASSISTANT
-
Abbie Jo Lowther, FNP
-
Teresa D Ritchie, FNP
-
Patrick Alexander Brown, M.D.
-
Richard Edward Cain, M.D.
-
Alfonso P Cinco, MD
-
Timothy M Daly, MD
Affiliated clinicians 48
-
David Loyd Adkins, PA-C
-
Suresh Balasubramony, M.D.
-
Shane Bowen, MD
-
Richard Edward Cain, M.D.
-
Craig A Chambers, DO
-
Kimberly Ann Collins-Houchin, FNP-BC
-
Lisa Michele Cottrill, NURSE PRACTITIONER C
-
Brittany Jo Cox, NP-C
-
Steven Eshenaur, DO
-
Jason B Fincham, DO
-
Jessica Ann Fitzwater, FNP-C
-
David Francke, MD
-
Aaron M Frymier, DO
-
Ruth A Full, PA-C
-
Corrie Elizabeth Grogg, WHNP-BC, FNP-C
-
Taylor Nicole Hoover, FNP-BC
-
Roshan Ally Hussain, M.D
-
Janie Lee Knotts, PA-C
-
Emily Ayers Koella, APRN
Medicare Care Compare: Hospital
- Listed as
- Minnie Hamilton Health System
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV
Hospital certification: CCN 511303
- Legal name
- MINNIE HAMILTON HEALTH CARE CENTER INC
- Doing business as
- MINNIE HAMILTON HEALTH SYSTEM
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Sep 19, 1996
- Last certification
- Sep 7, 2023
- Beds
- 43 (25 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 186 Hospital Dr
Grantsville, WV 26147-7100
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen S Whited |
Corporate Officer |
May 1, 2012 | |
| Corporate Director |
May 1, 2012 | ||
| Operational/Managerial Control |
May 1, 2012 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Minnie Hamilton Health System |
Hospital | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control |
May 10, 1983 May 10, 1983 |
| Glenville |
Federally qualified health center | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control |
May 10, 1983 May 10, 1983 |
| Minnie Hamilton Health System |
Rural health clinic | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control |
May 10, 1983 May 10, 1983 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000002 | WV | Part B Supplier - Clinic/Group Practice | 2961311667 |
Receives reassigned benefits from 39 practitioners Practice locations: Arnoldsburg, WV; Glenville, WV; Grantsville, WV |
| O20230204000474 | WV | Part a Provider - Critical Access Hospital | 2961311667 |
1 other NPI on this enrollment Practice locations: Grantsville, WV |
National Provider Directory
Locations
1491 WV Hwy 5 E Ste 1
Glenville, WV 26351
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 150 | WV | Yes |
Addresses
Primary practice location
186 Hospital Drive
Grantsville, WV 26147-7100
Mailing address
186 Hospital Drive
Grantsville, WV 26147-7100
Phone (304) 354-9244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002176000 | Medicaid | WV |
Other names
- Critical Access Hospital
Other providers in Grantsville, WV
- Urlin Daniel Mathews
- Jennifer Beth McCumbers
- Colleen Ann McKenna
- Linda McPherson
- Minnie Hamilton Health Care Center Inc
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
All providers in Grantsville, WV · Critical Access Hospital in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2012. 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.