NPIMap

Organization Active NPI

Princeton Community Hospital Association, Inc.

  • Psychiatric Hospital Unit
  • Princeton, WV
National Provider Identifier
1235311044
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
104 Issued in WV
Legal business name
PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC.
Practice address
122 12TH Street Ext
Princeton, WV 24740-2352
Phone
(304) 487-7000
Fax
(304) 487-7370
NPI assigned
Dec 4, 2007
Last updated
Dec 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Diane Lynn Spencer
Title
VP of Finance/Cfo
Phone
(304) 487-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 104 WV Primary

Addresses

Primary practice location

122 12TH Street Ext
Princeton, WV 24740-2352

Mailing address

122 12TH Street Extension
Princeton, WV 24740-2352
Phone (304) 487-7000

Other identifiers 1

IdentifierTypeStateIssuer
0001111002MedicaidWV

Other names 1

  • PCH Behavioral Medicine Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
Telitha D Glasscock DO7 organizations share this tax ID, including this one
Part of
Telitha D Glasscock DO

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1235311044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 12TH STREET EXTENSION",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402352",
            "telephone_number": "304-487-7000",
            "fax_number": "304-487-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402352",
            "telephone_number": "304-487-7000",
            "fax_number": "304-487-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC.",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VP OF FINANCE/CFO",
        "authorized_official_telephone_number": "304-487-7505"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "WV",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001111002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCH Behavioral Medicine Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PCH Behavioral Medicine Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.