Barnesville Hospital Association, Inc.
Organization Active NPI Rural Health Clinic/Center · Barnesville, OH
NPI 1134827546 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1134827546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BARNESVILLE HOSPITAL ASSOCIATION, INC.
- Practice address
- 1119 E Main St Ste 2
Barnesville, OH 43713-9145 - Phone
- (740) 425-5150
- NPI assigned
- Feb 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Willie Cooper-Lohr
- Title
- Cfo
- Phone
- (740) 425-5150
Owners & managing parties with NPI records 2
-
Shaun E Roe, DO
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Related certifications (CCN) 1
Facilities with the same owner 52
Practitioners 85
-
Kelsay Breann Garvin, FNP-BC
-
Olivia Jefferis, NP-C
-
Victor Y Kopyev, M.D.
-
Joshua Jay Moore, MD
-
Tiffany Etta Porter, CRNA
-
Christina Johnson, DPM
-
Chester Donald Smith III, M.D.
-
Janet Lynn Sullivan, CRNA
-
Muhammad N Khan, M.D.
-
Carissa Michelle Allen, PA-C
-
Natalie Ferretti, M.D.
-
Sara M Haverty, CRNA
-
Dean J Kerenick, D.O.
-
Michael Thomas Klapchar, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2277820 | Barnesville Family Medicine East | Certificate of waiver | Mar 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Rural health clinic certification: CCN 363444
- Legal name
- BARNESVILLE HOSPITAL ASSOCIATION, INC.
- Doing business as
- BARNESVILLE FAMILY MEDICINE EAST
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 13, 2023
- Last certification
- Dec 13, 2023
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 15, 1940 in OH
- Enrollment address
- 1119 E Main St
Ste 2
Barnesville, OH 43713-9145 - Related CCNs
- 361321
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Silva |
Corporate Director | Apr 1, 2021 | |
| Alex Incian |
Corporate Director |
Mar 20, 2025 | |
| W-2 Managing Employee | Mar 20, 2025 | ||
| Albert Wright |
Operational/Managerial Control |
Mar 31, 2021 | |
| Douglass Harrison |
Corporate Director |
Aug 13, 2024 | |
| Thomas Johnson |
Corporate Director |
Apr 1, 2021 | |
| Shaun Roe |
Corporate Director |
Aug 13, 2024 | |
| Judy Bruno |
Corporate Director |
Mar 20, 2025 | |
| W-2 Managing Employee | Mar 20, 2025 | ||
| Garen Rhome |
Corporate Director |
Nov 16, 2021 | |
| Angela Hannahs |
Corporate Director |
Apr 1, 2021 | |
| West Virginia United Health System, Inc |
5% Or Greater Direct Ownership Interest | Dec 1, 2021 | 100% |
| William Frank |
Corporate Director |
May 1, 1998 | |
| Wendy McKivitz |
Corporate Director |
Mar 20, 2025 | |
| Kent Gallagher |
Corporate Director |
Apr 1, 2021 | |
| Jonathan Kirkland |
Corporate Director |
Jul 26, 2022 | |
| James L Comerci |
Corporate Director |
Aug 13, 2024 | |
| Sandi Thompson |
Corporate Director |
Apr 1, 2021 | |
| Kenneth Phillips |
Corporate Director | Apr 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230721002232 | OH | Part a Provider - Rural Health Clinic | 9335134592 | Practice locations: Barnesville, OH |
National Provider Directory
- Tax ID family
- Barnesville Hospital As
Locations
100 Hospital Dr
Ste 202A
Barnesville, OH 43713
Phone (740) 425-5186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1119 E Main St Ste 2
Barnesville, OH 43713-9145
Mailing address
639 W Main St
Barnesville, OH 43713-1039
Phone (740) 425-3941
Other names
- Barnesville Family Medicine East
Other providers in Barnesville, OH
- Brandi Jerica Auber
- Brenda Sue Barkeloo
- Barnesville Exempted Village School District
- Barnesville Healthcare and Rehab Center, LLC
- Barnesville Hospital Association, Inc.
- Barnesville Hospital Association, Inc.
- Barnesville Hospital Association, Inc.
- Barnesville SNF Healthcare LLC
- Barnesville Surgery Inc
- Barnesville Vision Center
All providers in Barnesville, OH · Rural Health Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. 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.