Raleigh General Hospital LLC
Organization Active NPI General Acute Care Hospital · Beckley, WV
NPI 1629015698 · NPPES record last updated Oct 5, 2022
Key facts
- NPI
- 1629015698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- RALEIGH GENERAL HOSPITAL LLC
- Practice address
- 1710 Harper Rd
Beckley, WV 25801-3357 - Phone
- (304) 256-4100
- Fax
- (304) 256-4009
- NPI assigned
- May 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (502) 596-7000
Other NPIs on the same Medicare enrollment 18
Other NPIs with the same Medicare PAC ID 1
Member organizations 2
Facilities with the same owner 195
Practitioners 89
-
Melissa Dawn Ramsey, APRN, FNP-BC
-
Elizabeth Marianne Bass, M.D.
-
Rosalind Rebecca Berry, APRN
-
Aldino G Cellini, M.D.
-
Sandra Lynn Clay, FNP-C
-
Chinenye Ezike, DPM
-
Morgan Ferree, FNP-C
-
Peggy Jane Huffman, RN MSN FNP-BC
-
Mohammed Jaweed, FNP-C
-
Sarang Kashyap, M.D.
-
Husam M Nazer, MD
-
Herbert P Oye, DO
-
Lynnetta Faith Payne, D.O.
-
Gaurang Prabhu, MD
-
Amanda Jones Randall, CNP
-
Lisa Marie Richmond, FNP-BC
-
Jeanine Rae Robinson, FNP-BC
-
Erica Shrewsbury, NP-C
-
Amit Singla, MD
-
Barry K Vaught, M.D.
Affiliated clinicians 336
-
Ali F Aburahma, M.D.
-
Quartel-Ayne Amjad, M.D.
-
Chafik Assal, M.D.
-
Jill Keneda Bailey, APRN, BC
-
Jonnathan E. Bailey, CRNA
-
Rae Anne Bailey, D.O.
-
Joseph M. Baisden, M.D.
-
Kimberly D Ballard, D.O.
-
Elizabeth Marianne Bass, M.D.
-
Carissa Ann Bennett, NP-C
-
Rosalind Rebecca Berry, APRN
Medicare Care Compare: Hospital
- Listed as
- Raleigh General Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV
Hospital certification: CCN 510070
- Legal name
- RALEIGH GENERAL HOSPITAL LLC
- Doing business as
- RALEIGH GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Aug 22, 1969
- Last certification
- Oct 22, 2009
- Beds
- 300
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 30, 2005 in WV
- Enrollment address
- 1710 Harper Rd
Beckley, WV 25801-3357 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Lifepoint Corporate Services General Partnership |
Operational/Managerial Control | Jul 1, 2006 | |
| William Haugh |
Corporate Officer |
Sep 19, 2022 | |
| DSB Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 100% |
| David Brash |
W-2 Managing Employee |
Jul 8, 2025 | |
| Daniel Davis |
Corporate Officer |
Sep 19, 2022 | |
| Lifepoint Health Inc |
5% Or Greater Indirect Ownership Interest | Nov 18, 2018 | 100% |
| Marcus B Poppell |
Corporate Officer |
Nov 2, 2009 | |
| Other | Nov 2, 2009 | ||
| Charlotte E Lawrence |
Corporate Officer |
Jan 21, 2022 | |
| Elliott Brown |
Corporate Officer |
Apr 2, 2026 | |
| Lifepoint Acquisition Corp |
5% Or Greater Indirect Ownership Interest | Jul 13, 2005 | 100% |
| Christopher J Monte |
Corporate Officer |
Jul 1, 2006 | |
| Legacy Lifepoint Health LLC |
5% Or Greater Indirect Ownership Interest | Feb 22, 2022 | 100% |
| Lifepoint WV Holdings Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2006 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040914001132 | WV | Part B Supplier - Clinic/Group Practice | 6103735154 |
Receives reassigned benefits from 67 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beckley, WV |
| O20061218000353 | WV | Part a Provider - Hospital | 6103735154 | Practice locations: Beckley, WV |
National Provider Directory
Interoperability endpoints
- wva@wvafn.hcadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
1710 Harper Rd
Beckley, WV 25801-3357
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000324361 | Other | WV | BLUE CROSS |
| 000363129X | Medicaid | GA | |
| 01690361 | Medicaid | KY | |
| 7169380 | Medicaid | OH | |
| 424655100 | Medicaid | MD | |
| 318873 | Medicaid | SC | |
| 5100070 | Medicaid | NC | |
| 0001207000 | Medicaid | WV | |
| 009811940 | Medicaid | VA | |
| 90849500 | Medicaid | FL | |
| 033172100 | Medicaid | DE | |
| 178430000 | Medicaid | ME | |
| 3025830 | Medicaid | WA | |
| 00426302 | Medicaid | NY | |
| 30-4759022 | Medicaid | MI |
Other names
- RALEIGH GENERAL HOSPITAL
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | WVA@wvafn.hcadirect.net |
Other providers in Beckley, WV
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
- Raleigh General Hospital LLC
All providers in Beckley, WV · General Acute Care Hospital in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.