NPIMap

Organization Active NPI

Rainelle Medical Center, Inc

Doing business as Eastern Greenbrier Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
National Provider Identifier
1265101273
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RAINELLE MEDICAL CENTER, INC
Doing business as
Eastern Greenbrier Health Center
Practice address
595 Spartan LN
Lewisburg, WV 24901-9438
Phone
(304) 645-1052
Fax
(304) 645-1055
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Debra J Davidson-Bennett
Title
Credentialing Specialist
Phone
(304) 438-6188

Specialties & licenses 1

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

Addresses

Primary practice location

595 Spartan LN
Lewisburg, WV 24901-9438

Mailing address

176 Medical Center Dr
Rainelle, WV 25962-1064
Phone (304) 438-6188

Other names 1

  • EASTERN GREENBRIER 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
O20220505002108 WV Part A Provider - Federally Qualified Health Center (FQHC) 7416861810 Practice locations: Lewisburg, WV
O20220817001443 WV Part B Supplier - Clinic/Group Practice 7416861810 Receives reassigned benefits from 53 practitioners
Practice locations: Lewisburg, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265101273. Details of each certification follow.

Federally qualified health center certification: CCN 581823

Legal name
RAINELLE MEDICAL CENTER INC
Doing business as
EASTERN GREENBRIER HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 13, 2022
Last certification
Apr 13, 2022
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Nov 13, 1998 in WV
Enrollment address
595 Spartan LN
Lewisburg, WV 24901-9438

Other NPIs with the same Medicare PAC ID 15

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

View all 15

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Richard Lohmeyer Individual Corporate Director Mar 1, 2012
Pamela Fitzwater Individual Corporate Director Jan 1, 2013
Davida Farley Individual Corporate Director Jan 1, 2006
Monica Venable Individual Corporate Director Jan 1, 2012
Kristi Atha-Rader Individual Corporate Officer Jun 30, 2008
Gary G Veronneau Individual Corporate Director Jan 1, 2013
Kimberly Howard Individual Corporate Director Jan 1, 2006
Ron Fleshman Individual Corporate Director Jan 1, 2006
Lloyd Lynn Durham Individual Corporate Director Jan 1, 2019
Debra J Bennett Individual Corporate Director Jan 2, 1999
Christopher Clay Individual W-2 Managing Employee Dec 15, 2008
Jessie Boone Individual Corporate Director Jan 1, 2019
Frank Mullins Individual Corporate Director Jan 1, 2015
George Hall Individual Corporate Director Jan 1, 2006

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Midland Trail Health CenterHico, WV, CCN 511152 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Lewisburg Health CenterLewisburg, WV, CCN 511158 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 1, 2018
RMC Greenbrier Nephrology AlleghanyCovington, VA, CCN 491974 Federally qualified health center Operational/Managerial Control Jul 1, 2020
Rupert Health CenterRupert, WV, CCN 581046 Federally qualified health center Operational/Managerial Control (100%) Jun 26, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1265101273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SPARTAN LN",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019438",
            "telephone_number": "304-645-1052",
            "fax_number": "304-645-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINELLE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON-BENNETT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "304-438-6188"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTERN GREENBRIER HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EASTERN GREENBRIER HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, WV

Sources for this page

Verify at the official NPI Registry.