NPIMap

Organization Active NPI

Bath County Community Hospital

Doing business as Bath Community Physicians Group - Covington

  • Rural Health Clinic/Center
  • Covington, VA
National Provider Identifier
1154857019
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BATH COUNTY COMMUNITY HOSPITAL
Doing business as
Bath Community Physicians Group - Covington
Practice address
713 S Monroe Ave
Covington, VA 24426-1832
Phone
(540) 962-1122
Fax
(540) 839-4831
NPI assigned
May 11, 2017
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Jane Russell
Title
Cfo
Phone
(540) 839-7123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

713 S Monroe Ave
Covington, VA 24426-1832

Mailing address

PO Box Z
Hot Springs, VA 24445-0750

Other names 1

  • Bath Community Physicians Group - Covington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170717003108 VA Part A Provider - Rural Health Clinic 0840193819 Practice locations: Covington, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154857019. Details of each certification follow.

Rural health clinic certification: CCN 493428

Legal name
BATH COUNTY COMMUNITY HOSPITAL
Doing business as
BATH COMMUNITY PHYSICIANS GROUP - COVINGTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 31, 2017
Last certification
Nov 1, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 30, 1925 in VA
Enrollment address
713 S Monroe Ave
Covington, VA 24426-1832
Related CCNs
491300

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).

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
49D2119535Bath Community Physicians Group - Covington713 S Monroe Ave, Covington, VA 24426Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Bath Co Comm Hosp Ipl15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Sarah McWilliams Individual Corporate DirectorBoard Member Apr 25, 2016
Jay L Bonfili Individual Corporate DirectorBoard Member Feb 24, 2017
Jane Russell Individual Corporate OfficerCeo Aug 25, 2025
Ghulam D Qureshi Individual Corporate DirectorBoard Member Apr 24, 2015
Tim Pistell Individual Corporate DirectorBoard Member Apr 24, 2015
Susan C Plecker Individual W-2 Managing EmployeeRHC Ins & Billing Specialist Jun 1, 2023
Jeffrey S McCray Individual Corporate DirectorBoard Member, President of Medic Feb 26, 2016
Meade Snyder Individual Corporate DirectorBoard Member Apr 22, 2017
Ralph R Clark Individual Corporate DirectorBoard Member Apr 24, 2015
Lewis Duffy Individual Corporate DirectorBoard Member Apr 28, 2017
George Phillips Individual Corporate DirectorBoard Member Jul 26, 2012
John B Loeffler Individual Corporate DirectorBoard Member Apr 22, 2016
Matthew S Burton Individual Corporate Director Jun 1, 2022
Graham Scott Hetzer Individual Corporate DirectorBoard Member Apr 24, 2015

Owners & managing parties with NPI records 3

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1154857019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX Z",
            "city": "HOT SPRINGS",
            "state": "VA",
            "postal_code": "244450750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S MONROE AVE",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261832",
            "telephone_number": "540-962-1122",
            "fax_number": "540-839-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATH COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-839-7123"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bath Community Physicians Group - Covington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bath Community Physicians Group - Covington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, VA

Sources for this page

Verify at the official NPI Registry.