Active NPI
St Josephs Hospital of Buckhannon
- Medicare Defined Swing Bed Hospital Unit
- Buckhannon, WV
National Provider Identifier
1649503418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- ST JOSEPHS HOSPITAL OF BUCKHANNON
- Practice address
- 1 1 Amalia Dr
Buckhannon, WV 26201-2239 - Phone
- (304) 473-2000
- Fax
- (304) 473-2180
- NPI assigned
- Sep 11, 2009
- Last updated
- Oct 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sue E Johnson-Phillippe, FACHE
- Title
- Ceo
- Phone
- (304) 473-2118
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Primary | ||
| Critical Access Hospital | 282NC0060X | |||
| Rural Acute Care Hospital | 282NR1301X | 87 | WV | |
| Rural Acute Care Hospital | 282NR1301X |
Addresses
Primary practice location
1 1 Amalia Dr
Buckhannon, WV 26201-2239
Mailing address
1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51U053 | Other | FORMER CCN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | CMS HIH |
| CONNECT URL | https://www.mettles.com/ | Other |
National Provider Directory
National Provider Directory- Tax ID family
- St Josephs Hotpital
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Buckhannon, WV
- NPI 1841314473
-
- Community Based Hospice Care Agency
- Buckhannon, WV
- NPI 1811091804
-
- Home Health Agency
- Buckhannon, WV
- NPI 1891892329
-
- Rural Health Clinic/Center
- Buckhannon, WV
- NPI 1528607314
-
- Skilled Nursing Facility
- Buckhannon, WV
- NPI 1720183197
-
dba St Josephs Clinic, A Rural Health Clinic
- Rural Health Clinic/Center
- Buckhannon, WV
- NPI 1780223370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697760000000",
"number": "1649503418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 AMALIA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012239",
"telephone_number": "304-473-2000",
"fax_number": "304-473-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 1 AMALIA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012239",
"telephone_number": "304-473-2000",
"fax_number": "304-473-2180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOSEPHS HOSPITAL OF BUCKHANNON",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-11",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A",
"authorized_official_last_name": "JOHNSON-PHILLIPPE",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-473-2118",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FACHE"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": true
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "WV",
"license": "87",
"primary": false
},
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FORMER CCN",
"identifier": "51U053",
"state": null
}
],
"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"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.