NPIMap

Organization Active NPI

Minnie Hamilton Health Care Center, Inc.

  • 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.
Practice address
186 Hospital Drive
Grantsville, WV 26147-7100
Phone
(304) 354-9244
Fax
(304) 354-9323
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 10

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

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV

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 System
Grantsville, WV · CCN 51Z303		 Hospital 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 May 10, 1983
May 10, 1983
Glenville
Glenville, 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 System
Arnoldsburg, WV · CCN 513431		 Rural health clinic 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 May 10, 1983
May 10, 1983

Medicare enrollment records

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

National Provider Directory

Tax ID family
Minnie Hamilton Health (11 organizations share this tax ID)

Locations

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 150 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

186 Hospital Drive
Grantsville, WV 26147-7100

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0002176-006MedicaidWV

Other names 1

NPPES NPI Registry
  • Ambulance - Medicaid Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2012.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002176-006",
            "state": "WV"
        }
    ],
    "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.