NPIMap

Organization Active NPI

Rural Health Access Corporation

Doing business as Coalfield Health Center

  • Federally Qualified Health Center (FQHC)
  • Chapmanville, WV
National Provider Identifier
1184206161
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RURAL HEALTH ACCESS CORPORATION
Doing business as
Coalfield Health Center
Practice address
384 Airport Road
Chapmanville, WV 25508
Phone
(304) 855-1200
Fax
(304) 855-1230
NPI assigned
Apr 28, 2021
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
RURAL HEALTH ACCESS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Kristin Dial
Title
Executive Director
Phone
(304) 855-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

384 Airport Road
Chapmanville, WV 25508

Mailing address

PO Box 4013
Chapmanville, WV 25508
Phone (304) 855-1200

Other names 1

  • Coalfield Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090914000823 WV Part B Supplier - Clinic/Group Practice 2668528746 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chapmanville, WV; Logan, WV
O20221110002793 WV Part A Provider - Federally Qualified Health Center (FQHC) 2668528746 Practice locations: Chapmanville, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184206161. Details of each certification follow.

Federally qualified health center certification: CCN 581842

Legal name
RURAL HEALTH ACCESS CORPORATION
Doing business as
COALFIELD HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 10, 2022
Last certification
Nov 10, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 2, 2009 in WV
Enrollment address
384 Airport Rd
Chapmanville, WV 25508-9202

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Rural Health Access6 organizations share this tax ID, including this one
Part of
Rural Health Access

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Pamela Alderman Individual Corporate DirectorBoard Member Dec 19, 2022
Tonya Compton Individual Corporate DirectorBoard Member Jan 1, 2018
Dennis R Lewis Individual Corporate DirectorBoard Member Nov 18, 2025
Vickie Mounts Individual Corporate OfficerBoard Chair Dec 1, 2021
Corporate DirectorBoard Member Jun 1, 2010
George Barker Individual Corporate OfficerBoard Vice Chairman Dec 1, 2021
Corporate DirectorBoard Member Jun 1, 2010
Nathan F Thornhill Individual Corporate DirectorBoard Member Jul 18, 2016
Shayla Procopio Individual W-2 Managing EmployeeChief Operating Officer Apr 13, 2026
Operational/Managerial ControlChief Operating Officer Apr 13, 2026
Jon Robert Bowen Individual Corporate Director Jan 1, 2022
W-2 Managing Employee Apr 30, 2012
Brent J Tomblin Individual Corporate OfficerCeo Jan 1, 2025
W-2 Managing EmployeeCeo Jan 1, 2025
Operational/Managerial ControlChief Executive Officer Jan 1, 2025
Sarah Vance Individual W-2 Managing EmployeeChief Administrative Officer May 1, 2021
Operational/Managerial ControlChief Administrative Officer Apr 13, 2026
Drew Lewis Individual Corporate DirectorBoard Member Nov 18, 2025
Misty Perry Individual Corporate DirectorBoard Member Dec 1, 2021
Amy Compton Individual Corporate DirectorBoard Member Dec 1, 2021
Cathy Desrocher Individual Corporate Director Nov 17, 2014
Jackie Mullins Individual Corporate OfficerBoard Secretary/Treasurer Dec 1, 2021
Corporate DirectorBoard Member May 1, 2013
Terry Elkins Individual Corporate DirectorBoard Member Jan 1, 2018

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1184206161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4013",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-855-1200",
            "fax_number": "304-855-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 AIRPORT ROAD",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-855-1200",
            "fax_number": "304-855-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH ACCESS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RURAL HEALTH ACCESS CORPORATION",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-855-1200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coalfield Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapmanville, WV

Sources for this page

Verify at the official NPI Registry.