Organization Active NPI

Hampshire Memorial Hospital, Inc.

Doing business as Hampshire Memorial Hospital

  • Critical Access Hospital
  • Romney, WV
National Provider Identifier
1396897203
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
HAMPSHIRE MEMORIAL HOSPITAL, INC.
Doing business as
Hampshire Memorial Hospital
Practice address
363 Sunrise Blvd
Romney, WV 26757
Phone
(304) 822-4561
Fax
(304) 822-7809
NPI assigned
Jan 18, 2007
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Jill Chambers
Title
Manager Insurance Credentialing
Phone
(540) 536-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

363 Sunrise Blvd
Romney, WV 26757

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Other names 1

  • Hampshire Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070711000204 WV Part A Provider - Critical Access Hospital 2466558390 Receives reassigned benefits from 26 practitioners
Practice locations: Romney, WV
O20090611000685 WV Part B Supplier - Clinic/Group Practice 2466558390 Receives reassigned benefits from 157 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Romney, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396897203. Details of each certification follow.

Hospital certification: CCN 511311

Legal name
HAMPSHIRE MEMORIAL HOSPITAL, INC.
Doing business as
HAMPSHIRE MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2002
Last certification
Aug 21, 2014
Beds
44 (25 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2008 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jun 13, 2006 in WV
Enrollment address
363 Sunrise Blvd
Romney, WV 26757-4607

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hampshire Memorial HospitalCCN 511311 · All quality measures
Overall star rating
5 of 5
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
Tax ID family
Hampshire Memorial 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.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Robert M Amos Individual Corporate Officer Oct 4, 2009
Valley Health System Organization, Winchester, VA Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2008
Operational/Managerial Control Jan 1, 2008
Jill Chambers Individual W-2 Managing Employee Sep 1, 2017

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Valley Health Home Health/West VirginiaRomney, WV, CCN 517075 Home health agency 5% Or Greater Direct Ownership Interest (33.3%) Jan 1, 2008

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 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 164

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 164

Affiliated clinicians 269

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

View all 269

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1396897203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 SUNRISE BLVD",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "26757",
            "telephone_number": "304-822-4561",
            "fax_number": "304-822-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPSHIRE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGER INSURANCE CREDENTIALING",
        "authorized_official_telephone_number": "540-536-5100"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampshire Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Romney, WV

Sources for this page

Verify at the official NPI Registry.