Active NPI
Minnie Hamilton Health Care Center, Inc.
Doing business as Long Term Care Unit
- Skilled Nursing Facility
- Grantsville, WV
National Provider Identifier
1679678031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 150
- Legal business name
- MINNIE HAMILTON HEALTH CARE CENTER, INC.
- Doing business as
- Long Term Care Unit
- Practice address
- 186 Hospital Drive
Grantsville, WV 26147-7100 - Phone
- (304) 354-9244
- Fax
- (304) 354-9323
- NPI assigned
- Sep 13, 2006
- Last updated
- Apr 18, 2012
- 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
- Mr. Stephen S. Whited
- Title
- Cfo/Coo
- Phone
- (304) 354-9244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 150 | WV | Primary |
Addresses
Primary practice location
186 Hospital Drive
Grantsville, WV 26147-7100
Mailing address
186 Hospital Drive
Grantsville, WV 26147-7100
Phone (304) 354-9244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002176-001 | Medicaid | WV |
Other names 1
- Long Term Care Unit
National Provider Directory
National Provider Directory- Tax ID family
- Minnie Hamilton Health Care
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Gilmer Office - Family Planning
- Critical Access Hospital
- Glenville, WV
- NPI 1700975596
-
dba Minnie Hamilton Health Care Center
- Institutional Pharmacy
- Grantsville, WV
- NPI 1548276181
-
dba Minnie Hamilton Health System
- Rural Health Clinic/Center
- Arnoldsburg, WV
- NPI 1548993603
-
dba Gilmer Office - Medicare - FQHC
- Federally Qualified Health Center (FQHC)
- Glenville, WV
- NPI 1740397470
-
dba Ambulance - Medicaid
- Ambulance
- Grantsville, WV
- NPI 1508974254
-
dba Rural Health Clinic - Medicare
- Rural Health Clinic/Center
- Grantsville, WV
- NPI 1609983691
-
dba Critical Access Hospital - Medicaid
- Critical Access Hospital
- Grantsville, WV
- NPI 1699883348
-
dba Physicians Group - Medicaid
- Critical Access Hospital
- Grantsville, WV
- NPI 1881702538
-
dba Dental Office - Medicaid
- Dental Clinic/Center
- Grantsville, WV
- NPI 1962519967
-
- Preferred Provider Organization
- Grantsville, WV
- NPI 1982807061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334707200000",
"number": "1679678031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 HOSPITAL DRIVE",
"city": "GRANTSVILLE",
"state": "WV",
"postal_code": "261477100",
"telephone_number": "304-354-9244",
"fax_number": "304-354-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 HOSPITAL DRIVE",
"city": "GRANTSVILLE",
"state": "WV",
"postal_code": "261477100",
"telephone_number": "304-354-9244",
"fax_number": "304-354-9323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNIE HAMILTON HEALTH CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2012-04-18",
"status": "A",
"authorized_official_last_name": "WHITED",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CFO/COO",
"authorized_official_telephone_number": "304-354-9244",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WV",
"license": "150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002176-001",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Long Term Care Unit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grantsville, WV
- Minnie Hamilton Health Care Center, Inc. (Critical Access Hospital)
- Minnie Hamilton Health Care Center, Inc. (Long Term Care Unit - Medicare)
- Minnie Hamilton Health Care Center, Inc. (Swing Bed - Medicare)
- Minnie Hamilton Health Care Center, Inc. (Ambulance - Medicaid)
- Minnie Hamilton Health Care Center, Inc. (Rural Health Clinic - Medicare)
- Minnie Hamilton Health Care Center, Inc. (Critical Access Hospital - Medicaid)
- Minnie Hamilton Health Care Center, Inc. (Physicians Group - Medicaid)
- Minnie Hamilton Health Care Center, Inc. (Dental Office - Medicaid)
- Minnie Hamilton Health Care Center, Inc.
- Brandon Mollohan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.