NPIMap

Organization Active NPI

Hocking Valley Community Hospital

  • Critical Access Hospital
  • Logan, OH
National Provider Identifier
1295840007
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
HOCKING VALLEY COMMUNITY HOSPITAL
Practice address
601 State Route 664 N
Logan, OH 43138-8541
Phone
(740) 380-8000
Fax
(740) 385-7458
NPI assigned
Aug 20, 2006
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Julie E Grow
Title
Cfo
Phone
(740) 380-8389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X OH Primary

Addresses

Primary practice location

601 State Route 664 N
Logan, OH 43138-8541

Mailing address

601 State Route 664 N
P.O. Box 966
Logan, OH 43138-8541
Phone (740) 380-8000

Other identifiers 5

IdentifierTypeStateIssuer
5000035OtherOHUNITED HEALTHCARE OF OHIO
0500130OtherOHAETNA
030339300OtherOHDEPARTMENT OF LABOR
000000156744OtherOHANTHEM BLUE CROSS
3978503MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HockingValleyCommunityHospital@direct-poc.osumc.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000688 OH Part A Provider - Critical Access Hospital 7810896735 Receives reassigned benefits from 25 practitioners
Practice locations: Logan, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295840007. Details of each certification follow.

Hospital certification: CCN 361330

Legal name
HOCKING VALLEY COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2005
Last certification
Sep 1, 2006
Beds
25
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
601 State Route 664 N
Logan, OH 43138-8541

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hocking Valley Community HospitalCCN 361330 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Hocking Valley Community Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Randy Montgomery Individual Corporate Officer Mar 1, 2025
W-2 Managing EmployeeCfo Mar 1, 2025
Julie Grow Individual Corporate OfficerV.P. Finance/Cfo Mar 15, 2013
W-2 Managing EmployeeV.P. Finance/Cfo Mar 15, 2013
Stacey a Gabriel Individual W-2 Managing EmployeePresident, Ceo Jun 1, 2018
Kim Brown Individual W-2 Managing EmployeeCredentialing Specialist Mar 1, 2025
Hocking Valley Community Hospital Organization, Logan, OH Operational/Managerial Control Jan 1, 1966
County of Hocking Organization, Logan, OH 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hocking Valley Community HospitalLogan, OH, CCN 36Z330 Hospital Operational/Managerial Control
Other		 Jan 1, 1966
Jan 1, 1966

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 32

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 32

Affiliated clinicians 173

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

View all 173

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1295840007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 664 N",
            "address_2": "P.O. BOX 966",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-380-8000",
            "fax_number": "740-385-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-380-8000",
            "fax_number": "740-385-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOCKING VALLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "GROW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-380-8389"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF OHIO",
            "identifier": "5000035",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0500130",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "030339300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000156744",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3978503",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HockingValleyCommunityHospital@direct-poc.osumc.edu",
            "affiliation": "N",
            "endpointDescription": "HVCH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "601 State Route 664 N",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431388541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.