Princeton Community Hospital Assn., Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PRINCETON COMMUNITY HOSPITAL ASSN., INC

Doing business as

Bluefield Internal Medicine

Practice address

2111 College Ave
Bluefield, VA 24605-2002

Phone

(276) 322-4661

NPI assigned

Sep 9, 2010

Last updated

May 10, 2022By the provider in NPPES

Organization subpart

No

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

Phone

(304) 487-7505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bluefield Internal Medicine Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Princeton Community Hospital Assn. Inc.

  dba PCH Behavioral Health Center

  • Psychiatric Hospital Unit
  • Bluefield, WV
  • NPI 1619053329

  Member Of

  NPD member

Locations

Practitioners 365

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.

• Amanda Jeane Adkins, FNP-BC

  • Family Nurse Practitioner
  • Pounding Mill, VA
  • NPI 1962385369
  NPD
• Virginia Faye Bradley, DNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bluefield, VA
  • NPI 1427625128
  NPD
• Heath Clevinger, FNP

  • Nurse Practitioner
  • Cedar Bluff, VA
  • NPI 1639636772
  NPD
• Kara L Conley, FNP-C

  • Family Nurse Practitioner
  • Wytheville, VA
  • NPI 1164768479
  NPD
• Michelle Page Goodman, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1508690710
  NPD
• Angela Ferguson Graham, FNP

  • Registered Nurse
  • Pearisburg, VA
  • NPI 1598327330
  NPD
• Amy Leigh Harrup, FNP

  • Family Nurse Practitioner
  • South Hill, VA
  • NPI 1033798665
  NPD
• Angela Nicole Hutchinson, FNP

  • Family Nurse Practitioner
  • Bastian, VA
  • NPI 1154979680
  NPD
• Shahid Munif Khokar, MD

  • Pediatrics Physician
  • Bluefield, VA
  • NPI 1508855958
  NPD
• Albert Ho-Sien Kim, M.D.

  • Interventional Cardiology Physician
  • Annandale, VA
  • NPI 1780682583
  NPD
• Carolyn Lundy King, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bluefield, VA
  • NPI 1477785392
  NPD
• Melissa A Lafferty, FNP

  • Family Nurse Practitioner
  • Woodstock, VA
  • NPI 1871672543
  NPD

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1235446485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1369",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401369",
            "telephone_number": "304-487-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052002",
            "telephone_number": "276-322-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON COMMUNITY HOSPITAL ASSN., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "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",
        "authorized_official_telephone_number": "304-487-7505"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "49-8914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluefield Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluefield Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip B Robertson M.D. (psychiatric associates of the virginias)
• Antonia Jo Lynn Porter, MASTER OF SCIENCE
• Amber Noel Price, LPTA
• Primary Care of the Virginias
• Princeton Community Hospital Assn., Inc (Bluefield Family Medicine)
• Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - Bluefield)
• Providence Health Care, Inc. (Westwood Center)
• Naeem A Qazi, MD
• R Dean Evans DDS PC
• Mohammad Javed Rana, M.D.

• Rural Health Clinic/Center in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Rural Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.