NPIMap

Organization Active NPI

Hospital Development Co

Doing business as Roane General Hospital

  • Critical Access Hospital
  • Spencer, WV
National Provider Identifier
1316907322
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
74 Issued in WV
Legal business name
HOSPITAL DEVELOPMENT CO
Doing business as
Roane General Hospital
Practice address
200 Hospital Dr
Spencer, WV 25276-1050
Phone
(304) 927-4444
Fax
(304) 927-6807
NPI assigned
Mar 24, 2006
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Doug Bentz
Title
Ceo
Phone
(304) 927-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 74 WV Primary

Addresses

Primary practice location

200 Hospital Dr
Spencer, WV 25276-1050

Mailing address

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

Other names 1

  • Roane General Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000899 WV Part A Provider - Critical Access Hospital 4183527476 Receives reassigned benefits from 64 practitioners
Practice locations: Spencer, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316907322. Details of each certification follow.

Hospital certification: CCN 511306

Legal name
HOSPITAL DEVELOPMENT CO.
Doing business as
ROANE GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 16, 1999
Last certification
Dec 12, 2012
Beds
60 (25 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationProprietary
Incorporated
Jan 27, 1970 in WV
Enrollment address
200 Hospital Dr
Spencer, WV 25276-1050

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

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Roane General HospitalCCN 511306 · All quality measures
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 10

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

NameRoleSinceShare
Kevin Gaughan Individual Corporate DirectorDirector Oct 1, 2016
John Varda Individual Corporate Director May 27, 1999
Amy Downey Individual Corporate Director Feb 4, 2019
W-2 Managing Employee Feb 4, 2019
Brent E Watson Individual W-2 Managing Employee Mar 10, 2015
Douglas Bentz Individual Corporate DirectorEx Officio: Ceo Oct 9, 2000
W-2 Managing EmployeeCeo Oct 9, 2000
John Taylor Individual Corporate Director Mar 28, 2002
Jack Garrett Individual Corporate Director Jun 5, 1995
Gloria Atkinson Individual Corporate Director Sep 24, 2007
William Downey Individual Corporate Director May 24, 2001
Paul Hughes Individual Corporate Director May 28, 1998

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 5

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

FacilityTypeRoleSince
Roane General HospitalSpencer, WV, CCN 515099 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 27, 1970
Jan 27, 1970
Roane General HospitalWalton, WV, CCN 513417 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 3, 2013
Jun 3, 2013
Hospital Development Co.Spencer, WV, CCN 513408 Rural health clinic Operational/Managerial Control Apr 20, 2004
Southern Roane Medical ClinicLeft Hand, WV, CCN 513409 Rural health clinic Operational/Managerial Control Sep 25, 2005
Arnoldsburg Medical ClinicArnoldsburg, WV, CCN 513436 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 1, 2023

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 67

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 67

Affiliated clinicians 89

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

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1316907322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-4444",
            "fax_number": "304-927-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-4444",
            "fax_number": "304-927-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DEVELOPMENT CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "BENTZ",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-927-6200"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WV",
            "license": "74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roane General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spencer, WV

Sources for this page

Verify at the official NPI Registry.