NPIMap

Organization Active NPI

Minnie Hamilton Health Care Center, Inc.

Doing business as Ambulance - Medicaid

  • Ambulance
  • Grantsville, WV
National Provider Identifier
1508974254
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
150 Issued in WV
Legal business name
MINNIE HAMILTON HEALTH CARE CENTER, INC.
Doing business as
Ambulance - Medicaid
Practice address
186 Hospital Drive
Grantsville, WV 26147-7100
Phone
(304) 354-9244
Fax
(304) 354-9323
NPI assigned
Aug 25, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mr. Stephen S. Whited
Title
Cfo/Coo
Phone
(304) 354-9244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 150 WV Primary

Addresses

Primary practice location

186 Hospital Drive
Grantsville, WV 26147-7100

Mailing address

186 Hospital Drive
Grantsville, WV 26147-7100
Phone (304) 354-9244

Other names 1

  • Ambulance - Medicaid Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171228000948 WV Part B Supplier - Ambulance Service Supplier 2961311667 Practice locations: Grantsville, WV

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Minnie Hamilton Health11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Minnie Hamilton Health SystemGrantsville, WV, CCN 51Z303 Hospital 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 May 10, 1983
May 10, 1983
GlenvilleGlenville, WV, CCN 511871 Federally qualified health center 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 May 10, 1983
May 10, 1983
Minnie Hamilton Health SystemArnoldsburg, WV, CCN 513431 Rural health clinic 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 May 10, 1983
May 10, 1983

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1508974254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DRIVE",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DRIVE",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNIE HAMILTON HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "WHITED",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "304-354-9244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulance - Medicaid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grantsville, WV

Sources for this page

Verify at the official NPI Registry.