NPIMap

Organization Active NPI

Alleghany County Memorial Hospital Inc

Doing business as Alleghany Health

  • Critical Access Hospital
  • Sparta, NC
National Provider Identifier
1356318968
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H0108 Issued in NC
Legal business name
ALLEGHANY COUNTY MEMORIAL HOSPITAL INC
Doing business as
Alleghany Health
Practice address
233 Doctors St
Sparta, NC 28675
Phone
(336) 372-5511
Fax
(336) 372-6563
NPI assigned
Mar 2, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Kaylen Hawks
Title
Medical Staff Coordinator
Phone
(336) 372-3127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H0108 NC Primary

Addresses

Primary practice location

233 Doctors St
Sparta, NC 28675

Mailing address

233 Doctors St
Sparta, NC 28675-9247
Phone (336) 372-5511

Other identifiers 11

IdentifierTypeStateIssuer
010194377MedicaidVA
07692OtherNCNC BCBS PROFESSIONAL
091278600MedicaidFL
00971OtherNCNC BCBS SWING BED
660HOSOtherNCPARTNERS MCR CHOICE
442042OtherVAANTHEM BCBS OF VA
009810234MedicaidVA
3401320MedicaidNC
152167500OtherNCACS
00015OtherNCNC BLUE CROSS HOSPITAL
235003OtherNCCIGNA MEDICARE

Other names 1

  • Alleghany Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040116000709 NC Part B Supplier - Clinic/Group Practice 2466353008 Receives reassigned benefits from 27 practitioners
Practice locations: Sparta, NC
O20061104000440 NC Part A Provider - Critical Access Hospital 2466353008 Practice locations: Sparta, NC
O20210114000328 NC Part A Provider - Rural Health Clinic 2466353008 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sparta, NC
O20230203002610 NC Part A Provider - Critical Access Hospital 2466353008 Receives reassigned benefits from 1 practitioner
Practice locations: Sparta, NC

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1356318968. Details of each certification follow.

Hospital certification: CCN 34Z320

Legal name
ALLEGHANY COUNTY MEMORIAL HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Aug 6, 1948 in NC
Enrollment address
233 Doctors St
Sparta, NC 28675-9247
Other Hospital Practice Location

Rural health clinic certification: CCN 343476

Legal name
ALLEGHANY COUNTY MEMORIAL HOSPITAL INC
Doing business as
ALLEGHANY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 17, 2021
Last certification
Nov 17, 2021
Ownership / control type
1B
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1951 in NC
Enrollment address
233 Doctors St
Sparta, NC 28675-9247
Related CCNs
341320

Hospital certification: CCN 341320

Legal name
ALLEGHANY COUNTY MEMORIAL HOSPITAL INC
Doing business as
ALLEGHANY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2005
Last certification
Dec 15, 2005
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Enrollment address
233 Doctors St
Sparta, NC 28675-9247
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Alleghany Memorial HospitalCCN 341320 · 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

Member of 2

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

Locations

150 Chatham Medical Park
Elkin, NC 28621
Phone (336) 760-0706

546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037

214 Doctors St
Sparta, NC 28675
Phone (336) 372-5606

Ownership & related parties

All disclosed owners & managing parties 50

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

NameRoleSinceShare
Michael Stanley Individual Corporate DirectorH Jan 1, 2018
Willena Miles Smith Individual Corporate DirectorHugh Chatham Board Jan 1, 2017
Sheree Watson Individual Corporate DirectorWfbmc Board Feb 2, 2018
James Hoekstra Individual Corporate DirectorAlleghany Memorial Hospital Board Feb 2, 2018
Corporate DirectorAlleghany Memorial Hospital Boar Feb 2, 2018
Nathan Hatch Individual Corporate DirectorWfbmc Board Feb 2, 2018
Donna Boswell Individual Corporate DirectorWfbmc Board Feb 2, 2018
Robert Midkiff Individual Corporate DirectorHugh Chatham Board Jan 1, 2018
Hugh Chatham Memorial Hospital, Inc. Organization, Elkin, NC Corporation Other Feb 2, 2018
5% Or Greater Indirect Ownership Interest Feb 2, 2018
Operational/Managerial Control Feb 2, 2018
Other Feb 2, 2001
Stephen L Robertson Individual Corporate DirectorWfbmc Board Feb 2, 2018
Alleghany County Memorial Hospital Inc Organization, Sparta, NC Corporation 5% Or Greater Direct Ownership Interest Feb 2, 2018 100%
Operational/Managerial Control Feb 2, 2018 100%
Phillip Harris Individual Corporate DirectorHugh Chatham Board - Secretary Jan 1, 2013
Wayne Meredith Individual Corporate DirectorWfbmc Board Feb 2, 2018
Jerry Wallace Individual Corporate OfficerWfubmc Board - Secretary Feb 2, 2018
Jena Rebecca Folger Individual Corporate DirectorAlleghany Memorial Hospital Board Feb 2, 2018
Corporate DirectorAlleghany Memorial Hospital Boar Feb 2, 2018
Craig James Individual Corporate OfficerCeo Feb 2, 2018
Gregory Leo Burke Individual Corporate DirectorWfbmc Board Feb 2, 2018
James Reid Morgan Individual Corporate OfficerWfubmc Board - Assistant Secretary Feb 2, 2018
George Renfro Individual Corporate DirectorWfbmc Board Feb 2, 2018
Ann Ashman Individual Corporate OfficerHugh Chatham Board - Chairman Jan 1, 2016
Corporate DirectorHugh Chatham Board - Chairman Feb 2, 2018
William Lee Johnson Individual Corporate DirectorHugh Chatham Board Jan 1, 2016
Jose Arocha Individual Corporate DirectorAlleghany Board - Ex Officio Feb 2, 2018
William Allen Johnson Individual Corporate DirectorHugh Chatham Board Jan 1, 2017
Forrest James Becher Individual Corporate DirectorAlleghany Memorial Hospital Board Feb 2, 2018
Corporate DirectorAlleghany Memorial Hospital Boar Feb 2, 2018
George Austin Individual Corporate DirectorHugh Chatham Board Jan 1, 2014
Stephanie Johnson Cartwright Individual Corporate DirectorHugh Chatham Board Jan 1, 2017
Bradley Allen Clark Individual Corporate OfficerWfubmc Board - Treasurer Feb 2, 2018
Brent Kleinheksel Individual Corporate DirectorHugh Chatham Board Jan 1, 2018
James Rockland Proffitt Individual Corporate DirectorAlleghany Memorial Hospital Board Feb 2, 2018
Andrew Schindler Individual Corporate DirectorWfbmc Board Feb 2, 2018
Alleghany Health, LLC Organization, Sparta, NC LLC Other Feb 2, 2018
5% Or Greater Direct Ownership Interest Feb 2, 2018 100%
Operational/Managerial Control Feb 2, 2018
James Helvey Individual Corporate DirectorWfbmc Board Feb 2, 2018
Whitney Legrand Ivey Individual Corporate DirectorAlleghany Memorial Hospital Board Feb 2, 2018
Corporate DirectorAlleghany Memorial Hospital Boar Feb 2, 2018
Julie a Freischlag Individual Corporate DirectorWfubmc Board Ex Officio Feb 2, 2018
Jonathan R Snyder Individual Corporate DirectorHugh Chatham Board Jan 1, 2017
Julie W Tucker Individual Corporate OfficerController/Compliance Officer Oct 22, 2019
W-2 Managing EmployeeController/Compliance Oct 22, 2019
W-2 Managing EmployeeController Nov 3, 1997
Operational/Managerial ControlController Feb 2, 2018
Albert Herring Individual Corporate DirectorWfbmc Board Feb 2, 2018
Michael Leo Norman Individual Corporate DirectorHugh Chatham Board Jan 1, 2017
Wake Forest Univ Organization, Winston Salem, NC Corporation Other Feb 2, 2018
Ricky Keel Brown Individual Corporate DirectorAlleghany Memorial Hospital Board Feb 2, 2018
Corporate DirectorAlleghany Memorial Hospital Boar Feb 2, 2018
Arthur Gibel Individual Corporate DirectorWfubmc Board Feb 2, 2018
Donald Flow Individual Corporate OfficerWfubmc Board - Chair Feb 2, 2018
Corporate DirectorWfubmc Board Feb 2, 2018
William Cecil Warden Individual Corporate OfficerWfubmc Board - Vice Chair Feb 2, 2018
Corporate DirectorWfbmc Board Feb 2, 2018
James Marino Individual Corporate DirectorWfbmc Board Feb 2, 2018
David William Robertson Individual Corporate DirectorHugh Chatham Board Jan 1, 2017
Shirley Kennedy Richardson Individual Corporate DirectorAlleghany Board - Ex Officio Feb 2, 2018
Wake Forest University Baptist Medical Center Organization, Winston Salem, NC Corporation, Owned by another organization or individual Other Jul 1, 2025
Other Feb 2, 2018
Atrium Health Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Jul 1, 2025
Advocate Health Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Jul 1, 2025
Paula Verlene Moore Individual W-2 Managing EmployeeAd;Coo Jul 1, 2025
April Maines Individual Corporate OfficerClinical Services Director Mar 13, 2020
W-2 Managing EmployeeClinical Services Director Mar 13, 2020

Owners & managing parties with NPI records 11

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
Alleghany Memorial HospitalSparta, NC, CCN 343476 Rural health clinic Operational/Managerial Control (100%) Feb 2, 2018

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 96

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

View all 96

Practitioners & affiliated clinicians

Practitioners 34

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 34

Affiliated clinicians 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1356318968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 DOCTORS ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759247",
            "telephone_number": "336-372-5511",
            "fax_number": "336-372-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 DOCTORS ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "28675",
            "telephone_number": "336-372-5511",
            "fax_number": "336-372-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHANY COUNTY MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "HAWKS",
        "authorized_official_first_name": "KAYLEN",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "336-372-3127"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NC",
            "license": "H0108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010194377",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS PROFESSIONAL",
            "identifier": "07692",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091278600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS SWING BED",
            "identifier": "00971",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MCR CHOICE",
            "identifier": "660HOS",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "442042",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009810234",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401320",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "152167500",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS HOSPITAL",
            "identifier": "00015",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "235003",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alleghany Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, NC

Sources for this page

Verify at the official NPI Registry.