NPIMap

Organization Active NPI

Barnesville Hospital Association, Inc.

  • Rural Health Clinic/Center
  • Barnesville, OH
National Provider Identifier
1134827546
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 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
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Willie Cooper-Lohr
Title
Cfo
Phone
(740) 425-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • Barnesville Family Medicine East Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721002232 OH Part A Provider - Rural Health Clinic 9335134592 Practice locations: Barnesville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134827546. Details of each certification follow.

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
CorporationNon-profit
Incorporated
May 15, 1940 in OH
Enrollment address
1119 E Main St
Ste 2
Barnesville, OH 43713-9145
Related CCNs
361321

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

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2277820Barnesville Family Medicine East1119 East Main Street, Barnesville, OH 43713Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Barnesville Hospital As3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

100 Hospital Dr
Ste 202A
Barnesville, OH 43713
Phone (740) 425-5186

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Michael Silva Individual Corporate Director Apr 1, 2021
Alex Incian Individual Corporate DirectorDirector Accounting-Controller Mar 20, 2025
W-2 Managing Employee Mar 20, 2025
Albert Wright Individual Operational/Managerial ControlWvuhs President & Ceo Mar 31, 2021
Douglass Harrison Individual Corporate DirectorBoard Member Aug 13, 2024
Thomas Johnson Individual Corporate DirectorBoard Member Apr 1, 2021
Shaun Roe Individual Corporate DirectorBoard Member Aug 13, 2024
Judy Bruno Individual Corporate DirectorPresident & Ceo Mar 20, 2025
W-2 Managing Employee Mar 20, 2025
Garen Rhome Individual Corporate DirectorBoard Member Nov 16, 2021
Angela Hannahs Individual Corporate DirectorBoard Member Apr 1, 2021
West Virginia United Health System, Inc Organization, Morgantown, WV Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2021 100%
William Frank Individual Corporate DirectorBoard Member May 1, 1998
Wendy McKivitz Individual Corporate DirectorBoard Member Mar 20, 2025
Kent Gallagher Individual Corporate DirectorBoard Member/Chairman Apr 1, 2021
Jonathan Kirkland Individual Corporate DirectorBoard Member Jul 26, 2022
James L Comerci Individual Corporate DirectorBoard Member Aug 13, 2024
Sandi Thompson Individual Corporate DirectorBoard Member Apr 1, 2021
Kenneth Phillips Individual Corporate Director Apr 1, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 52

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

View all 52

Practitioners & affiliated clinicians

Practitioners 82

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 82

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1134827546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W MAIN ST",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131039",
            "telephone_number": "740-425-3941",
            "fax_number": "740-425-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E MAIN ST STE 2",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437139145",
            "telephone_number": "740-425-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNESVILLE HOSPITAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "COOPER-LOHR",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-425-5150"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnesville Family Medicine East",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Barnesville Family Medicine East",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barnesville, OH

Sources for this page

Verify at the official NPI Registry.