Community Health Association
Organization Active NPI Family Medicine Physician · Ripley, WV
NPI 1235753286 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1235753286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COMMUNITY HEALTH ASSOCIATION
- Practice address
- 146 Pinnell St
Ripley, WV 25271-9101 - Phone
- (304) 373-1521
- NPI assigned
- Jun 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Stephanie L McCoy
- Title
- Ceo
- Phone
- (304) 373-1475
Owners & managing parties with NPI records 8
Other NPIs on the same Medicare enrollment 6
Member of 1
Related certifications (CCN) 2
Practitioners 8
-
Andrew Morgan, D.O.
-
Paul T Vaughn, PAC
-
Melissa Fawn Blankenship, CRNA
-
Kayla Renee Johnson, PA-C
-
Joshua James Rogers, PA-C
Affiliated clinicians 225
-
Courtney Adkins, DO
-
Joan R Allman, D.O.
-
Shawna Renee Alloway, PA-C
-
Gabor Altdorfer I, M.D.
-
Megan Leann Arthur, APRN, FNP-BC
-
Justin Bailey, MD
-
Jeffrey S Barton, D.O.
-
Crystal H Bastin, M.D.
-
Victoria Boldman, FNP-C
-
Murrita C. Bolinger, CFNP
-
Kevin S. Boyce, PA-C
-
Megan Paige Boytek, FNP
-
Renetta Elaine Brewer, NP-C
-
Brian J Brown, MD
-
Donna M Burton, FNP-BC
-
Tammy Sue Burton, NP-BC
-
Lindsey Denee' Bush, FNP-BC
Medicare Care Compare: Hospital
- Listed as
- Jackson General Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV
Hospital certification: CCN 511320
- Legal name
- COMMUNITY HEALTH ASSOCIATION
- Doing business as
- JACKSON GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Oct 1, 2012
- Last certification
- Jan 31, 2024
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jul 1, 1966 in WV
- Enrollment address
- 122 Pinnell St
Ripley, WV 25271-9101
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Sarah Brown |
Corporate Director | May 27, 2014 | |
| Frederick W Parsons |
Corporate Director | May 27, 2014 | |
| John Gorrell |
Corporate Director | May 23, 2006 | |
| Carl Westfall |
Corporate Director | Mar 1, 2017 | |
| Rodney Felty |
Corporate Director | Apr 28, 2020 | |
| Donald Keith Rake |
Corporate Director | Mar 25, 2003 | |
| Deborah Burge |
W-2 Managing Employee |
Jun 1, 2021 | |
| Michael Ritchie |
Corporate Director | Mar 22, 2011 | |
| Carl L Overmiller |
Corporate Director |
Oct 1, 2020 | |
| Jamion Wolford |
Corporate Director | Mar 1, 2016 | |
| James Hunter |
Corporate Director | Mar 28, 2006 | |
| West Virginia United Health System, Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2022 | 100% |
| Candace Miller |
Other | Jul 15, 2024 | |
| Veronica Lewis |
Corporate Director |
Apr 20, 2022 | |
| William Smith |
Other | Jun 10, 2024 | |
| Carolyn Rader |
Corporate Director | Mar 1, 2017 | |
| James T. Hughes |
Corporate Director | Mar 27, 2001 | |
| Brenda G Greene |
W-2 Managing Employee | Jan 3, 2011 | |
| Robert Fisher |
Corporate Director | Mar 23, 2004 | |
| Carroll Lee Corder |
Corporate Director | Jan 3, 2011 | |
| Michael Casdorph |
Corporate Director | Oct 24, 2018 | |
| West Virginia University Hospitals Inc |
5% Or Greater Direct Ownership Interest | Oct 1, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000784 | WV | Part B Supplier - Clinic/Group Practice | 1759291313 |
Receives reassigned benefits from 135 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ripley, WV; Ravenswood, WV |
| O20160525000610 | WV | Part a Provider - Critical Access Hospital | 1759291313 |
Receives reassigned benefits from 124 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ripley, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
146 Pinnell St
Ripley, WV 25271-9101
Mailing address
PO Box 720
Ripley, WV 25271-0720
Other providers in Ripley, WV
- Fred Thomas Combs Jr.
- Community Health Association
- Community Health Association
- Community Health Association
- Community Health Association
- Community Health Association
- Community Health Association
- Community Health Association
- Community Health Association
- Community Health Association
All providers in Ripley, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.