NPIMap

Organization Active NPI

Raleigh General Hospital LLC

Doing business as Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
National Provider Identifier
1629015698
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
RALEIGH GENERAL HOSPITAL LLC
Doing business as
Raleigh General Hospital
Practice address
1710 Harper Rd
Beckley, WV 25801-3357
Phone
(304) 256-4100
Fax
(304) 256-4009
NPI assigned
May 31, 2006
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(502) 596-7000

Specialties & licenses 1

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

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 15

IdentifierTypeStateIssuer
01690361MedicaidKY
424655100MedicaidMD
000324361OtherWVBLUE CROSS
009811940MedicaidVA
7169380MedicaidOH
5100070MedicaidNC
033172100MedicaidDE
178430000MedicaidME
3025830MedicaidWA
0001207000MedicaidWV
90849500MedicaidFL
00426302MedicaidNY
318873MedicaidSC
000363129XMedicaidGA
30-4759022MedicaidMI

Other names 1

  • RALEIGH GENERAL HOSPITAL Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WVA@wvafn.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629015698. Details of each certification follow.

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
LLCProprietary
Incorporated
Sep 30, 2005 in WV
Enrollment address
1710 Harper Rd
Beckley, WV 25801-3357
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 18

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

View all 18

Care Compare: Hospital

Medicare Care Compare
Listed as
Raleigh General HospitalCCN 510070 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: wva@wvafn.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Lifepoint Corporate Services General Partnership Organization, Brentwood, TN Operational/Managerial Control Jul 1, 2006
William Haugh Individual Corporate OfficerPresident Sep 19, 2022
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
David Brash Individual W-2 Managing EmployeeFacility Ceo Jul 8, 2025
Daniel Davis Individual Corporate OfficerChief Financial Officer Sep 19, 2022
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 18, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Nov 2, 2009
Other Nov 2, 2009
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 21, 2022
Elliott Brown Individual Corporate OfficerSVP and Treasurer Apr 2, 2026
Lifepoint Acquisition Corp Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Jul 13, 2005 100%
Christopher J Monte Individual Corporate OfficerVice President Jul 1, 2006
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 22, 2022 100%
Lifepoint WV Holdings Inc Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2006 100%

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Acquisition Bell Hospital LLC

    dba UP Health System Bell

    • Critical Access Hospital
    • Ishpeming, MI
    • NPI 1699101345

    Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership

    CMS ownership
  • Acquisition Bell Hospital LLC

    dba UP Health System Bell

    • Medicare Defined Swing Bed Hospital Unit
    • Ishpeming, MI
    • NPI 1760819858

    Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership

    CMS ownership
  • Amg-Crockett LLC

    dba Summertown Medical Center

    • Rural Health Clinic/Center
    • Mt Pleasant, TN
    • NPI 1255069639

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba First Choice Health Lawrenceburg

    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1023840998

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba Southern Tennessee Internal Medicine - Lawrenceburg

    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1417739640

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba First Choice Health Loretto

    • Rural Health Clinic/Center
    • Loretto, TN
    • NPI 1811543929

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba Women's Health Clinic

    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1891580858

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Family Health - Pulaski

    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1063294296

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Primary Care Eastside

    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1144052002

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Primary Care Lynnville

    • Rural Health Clinic/Center
    • Lynnville, TN
    • NPI 1407688369

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Primary Care Ardmore

    • Rural Health Clinic/Center
    • Ardmore, TN
    • NPI 1558117028

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Hillside LLC

    dba First Choice Health - Pulaski

    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1568190551

    Legacy Lifepoint Health LLC

    CMS ownership
View all 195

Practitioners & affiliated clinicians

Practitioners 63

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 63

Affiliated clinicians 336

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

View all 336

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1629015698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "304-256-4100",
            "fax_number": "304-256-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH GENERAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-596-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01690361",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424655100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000324361",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009811940",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7169380",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100070",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033172100",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178430000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025830",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001207000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90849500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00426302",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318873",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000363129X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30-4759022",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WVA@wvafn.hcadirect.net",
            "affiliation": "N",
            "address_1": "1710 Harper Rd",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RALEIGH GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RALEIGH GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.