NPIMap

Organization Active NPI

City Hospital, Inc

Doing business as Berkeley Medical Center

  • General Acute Care Hospital
  • Martinsburg, WV
National Provider Identifier
1457389249
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
80 Issued in WV
Legal business name
CITY HOSPITAL, INC
Doing business as
Berkeley Medical Center
Practice address
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone
(304) 264-1249
Fax
(304) 264-1340
NPI assigned
Jun 29, 2006
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST VIRGINIA UNIVERSITY HOSPITALS EAST INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Kathleen R Quinones
Title
VP of Finance
Phone
(304) 260-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 80 WV Primary

Addresses

Primary practice location

2500 Hospital Dr
Martinsburg, WV 25401-3402

Mailing address

PO Box 990
Morgantown, WV 26507-0990
Phone (304) 598-6795

Other identifiers 2

IdentifierTypeStateIssuer
000301259OtherWVACUTE HOSPITAL
0001292000MedicaidWV

Other names 1

  • Berkeley Medical Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com Other
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 WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040127000391 WV Part A Provider - Hospital 3375444524
O20070517000750 WV Part A Provider - Hospital 3375444524 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Martinsburg, WV

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1457389249. Details of each certification follow.

Hospital certification: CCN 510008

Legal name
CITY HOSPITAL INC
Doing business as
BERKELEY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 23, 2023
Beds
241
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1939 in WV
Enrollment address
2500 Hospital Dr
Martinsburg, WV 25401-3402
Hospital subgroups
Acute care

Hospital certification: CCN 51S008

Legal name
CITY HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1939 in WV
Enrollment address
2500 Hospital Dr
Martinsburg, WV 25401-3402
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Berkeley Medical CenterCCN 510008 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0234540Berkeley Medical Center Laboratory2500 Hospital Drive, Martinsburg, WV 25401AccreditationMar 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
City Hospital Inc36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 29

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 Corporate Director Jan 1, 2022
Susan Snowden Individual Corporate Director Feb 4, 2019
Corporate DirectorBoard Member Feb 4, 2019
Lindsay Hash Individual Corporate Director Aug 5, 2019
Charles W Hensell Individual Corporate Director Jan 1, 2022
Corporate DirectorBoard Member Jun 2, 2026
Deborah Burge Individual W-2 Managing EmployeeManager, Enterprise Pat Fin Service Jun 1, 2021
Alice Frazier Individual Corporate Director Feb 4, 2019
Corporate DirectorBoard Member Feb 4, 2019
West Virginia University Hospitals East Inc Organization, Martinsburg, WV Non-profit Operational/Managerial Control Jan 1, 2005
Jeffrey B Debord Individual Corporate Director Jan 1, 2022
James Rogers Individual Corporate Director Apr 2, 2018
Dawn R Jones Individual Corporate Director May 26, 2015
Jackee Long Individual Corporate Director Jan 1, 2012
Sharon Mailey Individual Corporate Director Jan 1, 2023
Clarence E Martin Individual Corporate Director Feb 3, 2020
Grover Zach Kerns Individual W-2 Managing EmployeeVP of Finance Jan 1, 2019
Corporate OfficerCfo Jul 1, 2020
W-2 Managing EmployeeCfo Jul 1, 2020
Operational/Managerial ControlVP of Finance Jul 1, 2020
West Virginia United Health System, Inc Organization, Morgantown, WV Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2005 100%
Operational/Managerial Control Jan 1, 2005
Richard William Thomas Individual Corporate Director Oct 10, 2023
Corporate DirectorBoard Member Jun 2, 2026
Douglas Scott Roach Individual Corporate OfficerTreasurer Jan 1, 2013
Corporate DirectorBoard Member Jan 1, 2011
Mark O'Hern Individual Corporate OfficerPresident & Ceo Mar 6, 2025
W-2 Managing EmployeePresident & Ceo Mar 6, 2025
Corporate OfficerPresident & Ceo Mar 11, 2025
W-2 Managing EmployeePresident & Ceo Mar 11, 2025
Margaret M Cogswell Individual Corporate Director Jan 1, 2024
Corporate DirectorBoard Member Jun 2, 2026
Garth Bradford Wright Individual Corporate Director Jan 1, 2024
Charles Lynch Christian Individual Corporate DirectorBoard Member Jun 2, 2026
Heshm Bakr Individual Corporate DirectorBoard Member Jun 2, 2026
Mark Graves Individual Corporate DirectorBoard Member Jun 2, 2026
Justin Henry Individual Corporate DirectorBoard Member Jun 2, 2026
Samantha Richards Individual W-2 Managing EmployeeCoo Jun 2, 2026
Richard J. Ward Individual Corporate DirectorBoard Member Jun 2, 2026
Henry Kayes Individual Corporate DirectorBoard Member Jan 1, 2017
Carrie E Willetts Individual Corporate DirectorBoard Member Jun 2, 2026
David Deuell Individual Corporate DirectorBoard Member Jun 2, 2026

Owners & managing parties with NPI records 6

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 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 591

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

View all 591

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1457389249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070990",
            "telephone_number": "304-598-6795",
            "fax_number": "304-598-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013402",
            "telephone_number": "304-264-1249",
            "fax_number": "304-264-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST VIRGINIA UNIVERSITY HOSPITALS EAST INC",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "304-260-1443"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WV",
            "license": "80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUTE HOSPITAL",
            "identifier": "000301259",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001292000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Parkway",
            "address_2": "Suite 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "Berkeley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berkeley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.