NPIMap

Organization Active NPI

Minnie Hamilton Health Care Center, Inc.

Doing business as Critical Access Hospital

  • Critical Access Hospital
  • Grantsville, WV
National Provider Identifier
1124029400
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
150 Issued in WV
Legal business name
MINNIE HAMILTON HEALTH CARE CENTER, INC.
Doing business as
Critical Access Hospital
Practice address
186 Hospital Drive
Grantsville, WV 26147-7100
Phone
(304) 354-9244
Fax
(304) 354-9323
NPI assigned
Aug 9, 2005
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mr. Stephen S. Whited
Title
Cfo/Coo
Phone
(304) 354-9244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 150 WV Primary

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 1

IdentifierTypeStateIssuer
0002176000MedicaidWV

Other names 1

  • Critical Access Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124029400. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
186 Hospital Dr
Grantsville, WV 26147-7100
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Minnie Hamilton Health SystemCCN 511303 · All quality measures
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

Locations

1491 WV Hwy 5 E Ste 1
Glenville, WV 26351

186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Stephen S Whited Individual Corporate OfficerCeo May 1, 2012
Corporate DirectorCeo May 1, 2012
Operational/Managerial ControlCeo May 1, 2012

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Minnie Hamilton Health SystemGrantsville, WV, CCN 51Z303 Hospital 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 May 10, 1983
May 10, 1983
GlenvilleGlenville, WV, CCN 511871 Federally qualified health center 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 May 10, 1983
May 10, 1983
Minnie Hamilton Health SystemArnoldsburg, WV, CCN 513431 Rural health clinic 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 May 10, 1983
May 10, 1983

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

Affiliated clinicians 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1124029400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DRIVE",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DRIVE",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNIE HAMILTON HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "WHITED",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "304-354-9244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WV",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002176000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Critical Access Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grantsville, WV

Sources for this page

Verify at the official NPI Registry.