NPIMap

Organization Active NPI

Community Health Association

  • Family Medicine Physician
  • Ripley, WV
National Provider Identifier
1235753286
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 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
Last updated
Jun 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Stephanie L McCoy
Title
Ceo
Phone
(304) 373-1475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

146 Pinnell St
Ripley, WV 25271-9101

Mailing address

PO Box 720
Ripley, WV 25271-0720

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235753286. Details of each certification follow.

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
CorporationProprietary
Incorporated
Jul 1, 1966 in WV
Enrollment address
122 Pinnell St
Ripley, WV 25271-9101
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Jackson General HospitalCCN 511320 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Sarah Brown Individual Corporate Director May 27, 2014
Frederick W Parsons Individual Corporate Director May 27, 2014
John Gorrell Individual Corporate Director May 23, 2006
Carl Westfall Individual Corporate Director Mar 1, 2017
Rodney Felty Individual Corporate Director Apr 28, 2020
Donald Keith Rake Individual Corporate Director Mar 25, 2003
Deborah Burge Individual W-2 Managing EmployeeMGR ENT Patient Fin SVCS Jun 1, 2021
Michael Ritchie Individual Corporate Director Mar 22, 2011
Carl L Overmiller Individual Corporate DirectorBoard Member Oct 1, 2020
Jamion Wolford Individual Corporate Director Mar 1, 2016
James Hunter Individual Corporate Director Mar 28, 2006
West Virginia United Health System, Inc Organization, Morgantown, WV Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2022 100%
Candace Miller Individual Other Jul 15, 2024
Veronica Lewis Individual Corporate DirectorBoard Member Apr 20, 2022
William Smith Individual Other Jun 10, 2024
Carolyn Rader Individual Corporate Director Mar 1, 2017
James T. Hughes Individual Corporate Director Mar 27, 2001
Brenda G Greene Individual W-2 Managing Employee Jan 3, 2011
Robert Fisher Individual Corporate Director Mar 23, 2004
Carroll Lee Corder Individual Corporate Director Jan 3, 2011
Michael Casdorph Individual Corporate Director Oct 24, 2018
West Virginia University Hospitals Inc Organization, Morgantown, WV Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2022 100%

Owners & managing parties with NPI records 8

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

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 225

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 225

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1235753286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252710720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PINNELL ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719101",
            "telephone_number": "304-373-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-373-1475"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

Verify at the official NPI Registry.