NPIMap

Organization Active NPI

Grafton City Hospital Inc

  • Critical Access Hospital
  • Grafton, WV
National Provider Identifier
1265484893
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
14 Issued in WV
Legal business name
GRAFTON CITY HOSPITAL INC
Practice address
1 Hospital PLZ
Grafton, WV 26354-1283
Phone
(304) 265-0400
Fax
(304) 265-6419
NPI assigned
May 16, 2006
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Jeffrey E Lilley
Title
Administrator
Phone
(304) 265-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 14 WV Primary

Addresses

Primary practice location

1 Hospital PLZ
Grafton, WV 26354-1283

Mailing address

1 Hospital PLZ
Grafton, WV 26354-1283
Phone (304) 265-0400

Other identifiers 1

IdentifierTypeStateIssuer
3330106000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208000659 WV Part A Provider - Critical Access Hospital 7719897263 Receives reassigned benefits from 29 practitioners
Practice locations: Grafton, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265484893. Details of each certification follow.

Hospital certification: CCN 511307

Legal name
GRAFTON CITY HOSPITAL, INC.
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 29, 1999
Last certification
Oct 2, 2024
Beds
102 (25 certified)
Ownership / control type
Local
Organization structure
CorporationNon-profit
Incorporated
Feb 23, 1915 in WV
Enrollment address
1 Hospital PLZ
Grafton, WV 26354-1283
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Grafton City Hospital, IncCCN 511307 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
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 1

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

NameRoleSinceShare
Kevin M Gessler Individual Operational/Managerial Control Nov 1, 2021

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Grafton City Hospital, Inc.Grafton, WV, CCN 51Z307 Hospital Operational/Managerial Control Feb 23, 2015

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 57

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 57

Affiliated clinicians 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1265484893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541283",
            "telephone_number": "304-265-0400",
            "fax_number": "304-265-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541283",
            "telephone_number": "304-265-0400",
            "fax_number": "304-265-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAFTON CITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "LILLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-265-0400"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WV",
            "license": "14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3330106000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WV

Sources for this page

Verify at the official NPI Registry.