NPIMap

Organization Active NPI

Herbert J. Thomas Memorial Hospital Association

Doing business as Thomas Memorial Hospital

  • General Acute Care Hospital
  • South Charleston, WV
National Provider Identifier
1316925506
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
39 Issued in WV
Legal business name
HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Thomas Memorial Hospital
Practice address
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone
(304) 766-3774
Fax
(304) 414-2718
NPI assigned
Jan 6, 2006
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Mr. Stephen P Dexter
Title
Ceo
Phone
(304) 766-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 39 WV Primary

Addresses

Primary practice location

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311

Mailing address

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3774

Other identifiers 2

IdentifierTypeStateIssuer
000324350OtherWVBCBS ACUTE
0001391000MedicaidWV

Other names 1

  • Thomas Memorial Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071119000652 WV Part A Provider - Hospital 9931162104

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316925506. Details of each certification follow.

Hospital certification: CCN 510029

Legal name
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
THOMAS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 17, 2009
Beds
266
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1946 in WV
Enrollment address
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Main/Primary Hospital Location
Hospital subgroups
Acute care

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
Thomas Memorial HospitalCCN 510029 · All quality measures
Overall star rating
1 of 5
Type
Acute Care 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 16

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

NameRoleSinceShare
Albert Wright Individual Operational/Managerial ControlWvuhs President Jan 1, 2023
Kishore K Challa Individual Corporate DirectorBoard Member Apr 28, 2016
Ashley C Pack Individual Corporate DirectorBoard Member Feb 25, 2021
James G Rosencrance Individual Corporate OfficerPresident Mar 1, 2024
Corporate DirectorPresident Mar 1, 2024
W-2 Managing EmployeePresident Mar 1, 2024
John Epperly Individual Corporate DirectorBoard Member Sep 18, 2024
Mark a Robinson Individual Corporate DirectorBoard Member Feb 25, 2021
Craig H Slaughter Individual Corporate DirectorBoard Vice-Chair Oct 23, 2017
Terrell a Ellis Individual Corporate DirectorBoard Member Feb 23, 2023
West Virginia United Health System, Inc Organization, Morgantown, WV Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2023
Lyle John Fairless Individual Corporate DirectorBoard Member Feb 25, 2021
George Barker Individual Corporate DirectorBoard Member Feb 1, 2019
David Sayre Individual Corporate DirectorBoard Vice-Chair, Secretary Feb 1, 2019
Donald X Higgs Individual Corporate DirectorBoard Member Feb 1, 2019
Stephen E Kawash Individual Corporate DirectorTreasurer Oct 23, 2017
Rachel S Jones Individual Corporate OfficerCfo Sep 18, 2024
W-2 Managing EmployeeCfo Sep 18, 2024
Angela a Mayfield Individual Corporate DirectorBoard Chairman Apr 28, 2016

Owners & managing parties with NPI records 2

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

Facilities with the same owner 52

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

View all 52

Practitioners & affiliated clinicians

Practitioners 65

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 65

Affiliated clinicians 750

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

View all 750

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1316925506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-766-3774",
            "fax_number": "304-414-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-766-3774",
            "fax_number": "304-414-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-766-3774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WV",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE",
            "identifier": "000324350",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001391000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thomas Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.