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Camc Greenbrier Valley Medical Center Inc

Organization Active NPI General Acute Care Hospital · Ronceverte, WV

NPI 1679299408 · NPPES record last updated Oct 19, 2022

Key facts

NPI
1679299408
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
CAMC GREENBRIER VALLEY MEDICAL CENTER INC
Practice address
1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone
(304) 647-6006
Fax
(304) 388-6782
NPI assigned
Oct 13, 2022
Organization subpart
No

Authorized official

Name
Mr. Chad Hovis
Title
VP Finance
Phone
(304) 388-6251

Owners & managing parties with NPI records 1

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 3

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 17

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

Practitioners 89

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

View all 89

Affiliated clinicians 267

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

View all 267

Medicare Care Compare: Hospital

Listed as
Camc Greenbrier Valley Medical Center, Inc CCN 510002
Overall star rating
★★☆☆☆ 2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV

Hospital certification: CCN 510002

Legal name
CAMC GREENBRIER VALLEY MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 24, 1970
Last certification
Dec 13, 2006
Beds
122
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 2023 (2 total)
Organization structure
Corporation · Proprietary
Enrollment address
1320 Maplewood Ave
Ronceverte, WV 24970-8016
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Glenn Crotty
Individual 		Corporate Director
Vice President		 Jan 1, 2023
David L Ramsey
Individual 		Corporate Director
President		 Jan 1, 2023
Chad Hovis
Individual 		Corporate Director
VP of Finance		 Jan 1, 2023
W-2 Managing Employee
VP of Finance		 Jan 1, 2023
Vandalia Health Inc
Organization · Charleston, WV
Corporation 		5% Or Greater Direct Ownership Interest Sep 1, 2022 100%
Operational/Managerial Control Sep 1, 2022 100%
Jeffrey D Sandene
Individual 		Corporate Director
Treasurer		 Jan 1, 2023
W-2 Managing Employee
Treasurer		 Jan 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230117001078 WV Part a Provider - Hospital 1254702962 Practice locations: Lewisburg, WV; Peterstown, WV; Rainelle, WV; Ronceverte, WV

National Provider Directory

Tax ID family
Camc Greenbrier Valley Medical Center Inc (4 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

1320 Maplewood Ave
Ronceverte, WV 24970-8016

Mailing address

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-6251

Other providers in Ronceverte, WV

All providers in Ronceverte, WV · General Acute Care Hospital in West Virginia

Sources for this page

Verify at the official NPI Registry.