NPIMap

Organization Active NPI

West Virginia University Hospitals, Inc.

Doing business as Fairmont Medical Center

  • Skilled Nursing Facility
  • Fairmont, WV
National Provider Identifier
1528040359
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Doing business as
Fairmont Medical Center
Practice address
1325 Locust Ave
Fairmont, WV 26554-1435
Phone
(304) 534-7810
Fax
(681) 753-5801
NPI assigned
Nov 17, 2005
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Mr. Michael A. Grace
Title
President
Phone
(304) 598-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1325 Locust Ave
Fairmont, WV 26554-1435

Mailing address

PO Box 1127
Morgantown, WV 26507-1127
Phone (304) 598-4000

Other names 1

  • Fairmont Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231018001649 WV Part A Provider - Skilled Nursing Facility 9537077441 Practice locations: Fairmont, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528040359. Details of each certification follow.

Skilled nursing facility certification: CCN 515200

Legal name
WEST VIRGINIA UNIVERSITY HOSPITALS INC
Doing business as
FAIRMONT MEDICAL CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 8, 2023
Last certification
Oct 4, 2023
Beds
30
Ownership / control type
Nonprofit Corporation
Multi-facility organization
West Virginia University Hospitals, Inc.
Organization structure
CorporationNon-profit
Incorporated
May 8, 1984 in WV
Enrollment address
1325 Locust Ave
Fairmont, WV 26554-1435
Nursing home name
FAIRMONT MEDICAL CENTER
Affiliated entity
WVU MEDICINE

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairmont Medical CenterCCN 515200 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Dec 8, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3038.3 residents per day on average
Chain
Wvu Medicine7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
51D2295234Fairmont Medical Center Nursing Services1325 Locust Avenue (Attn Nurse Director), Fairmont, WV 26554Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Michelle Rotellini Individual Corporate DirectorDirector Sep 1, 2023
Michael Grace Individual Corporate OfficerPresident Sep 1, 2023 100%
Corporate DirectorDirector Sep 1, 2023
Albert Wright Individual Corporate OfficerChief Executive Officer Sep 1, 2023
Corporate DirectorDirector Sep 1, 2023
Operational/Managerial Control Sep 1, 2023
Paula Congelio Individual Corporate DirectorDirector Sep 1, 2023
Robert Anthony Individual Corporate DirectorDirector Sep 1, 2023
Steven J Meurer Individual Corporate DirectorSecretary/Director Sep 1, 2023
Elwood Gordon Gee Individual Corporate DirectorDirector Board Chair Sep 1, 2023
David Satterfield Individual Corporate DirectorDirector Sep 1, 2023
Clay B Marsh Individual Corporate DirectorDirector Sep 1, 2023
Kevin Craig Individual Corporate DirectorDirector Sep 1, 2023
Tara McComb Hulsey Individual Corporate DirectorDirector Sep 1, 2023
West Virginia United Health System, Inc Organization, Morgantown, WV Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Christopher S Kiefer Individual Corporate DirectorDirector Sep 1, 2023
Sarah Tucker Individual Corporate DirectorDirector Sep 1, 2023
Randy Williams Individual Corporate DirectorDirector Sep 1, 2023
Steve James Ferguson Individual Corporate DirectorDirector Sep 1, 2023
Douglas Scott Roach Individual Corporate DirectorTreasurer/Director Sep 1, 2023
Ellen Capprllanti Individual Corporate OfficerVice-Chairperson Sep 1, 2023
Corporate DirectorDirector Sep 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Uniontown HospitalUniontown, PA, CCN 390041 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2021
Uniontown HospitalUniontown, PA, CCN 39T041 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2021
Jackson General HospitalRipley, WV, CCN 511320 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Jackson General HospitalRipley, WV, CCN 51Z320 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019
Jackson General Hospital RHC Dba Morad-Hughes Health CenterRipley, WV, CCN 513410 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019

Owned or controlled facilities with NPI records 10

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

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

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1528040359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265071127",
            "telephone_number": "304-598-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541435",
            "telephone_number": "304-534-7810",
            "fax_number": "681-753-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA UNIVERSITY HOSPITALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-598-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "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": "Fairmont Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.