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Hospital Development Co

Organization Active NPI Critical Access Hospital · Spencer, WV

NPI 1316907322 · NPPES record last updated Nov 8, 2010

Key facts

NPI
1316907322
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
74 (WV)
Legal business name
HOSPITAL DEVELOPMENT CO
Practice address
200 Hospital Dr
Spencer, WV 25276-1050
Phone
(304) 927-4444
Fax
(304) 927-6807
NPI assigned
Mar 24, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Owned or controlled facilities with NPI records 6

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

Other NPIs with the same Medicare PAC ID 8

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

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

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 79

Affiliated clinicians 89

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

View all 89

Medicare Care Compare: Hospital

Listed as
Roane General Hospital CCN 511306
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV

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
Corporation · Proprietary
Incorporated
Jan 27, 1970 in WV
Enrollment address
200 Hospital Dr
Spencer, WV 25276-1050

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 Director
Director		 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 Director
Ex Officio: Ceo		 Oct 9, 2000
W-2 Managing Employee
Ceo		 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

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 Hospital
Spencer, 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 Hospital
Walton, 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 Clinic
Left Hand, WV · CCN 513409		 Rural health clinic Operational/Managerial Control Sep 25, 2005
Arnoldsburg Medical Clinic
Arnoldsburg, WV · CCN 513436		 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 1, 2023

Medicare enrollment records

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

National Provider Directory

Locations

300 Hospital Dr
Spencer, WV 25276
Phone (304) 927-6136

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
0123058000MedicaidWV

Other names

  • Roane General Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2010.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123058000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roane General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spencer, WV

All providers in Spencer, WV · Critical Access Hospital in West Virginia

Sources for this page

Verify at the official NPI Registry.