NPIMap

Organization Active NPI

Pike Health Services, Inc

  • Critical Access Hospital
  • Waverly, OH
National Provider Identifier
1720018971
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
PIKE HEALTH SERVICES, INC
Practice address
100 Dawn Lane
Waverly, OH 45690-9138
Phone
(740) 947-2186
Fax
(740) 947-6538
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Jeffrey Gardner Craft
Title
Vice President for System Finance
Phone
(740) 779-4481

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 1299 OH
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 1299 OH
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

100 Dawn Lane
Waverly, OH 45690-9138

Mailing address

272 Hospital Rd
Suite 3
Chillicothe, OH 45601-9031
Phone (740) 779-4460

Other identifiers 3

IdentifierTypeStateIssuer
037358600OtherOHHOSPITAL - DOL
6942509MedicaidOH
000000156779OtherOHHOSPITAL - ANTHEM

Other names 1

  • Pike Community Hospital; Pike Medical & Surgical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090710000375 OH Part A Provider - Critical Access Hospital 3678472693 Practice locations: Piketon, OH; Waverly, OH

Hospital certification: CCN 361334

Legal name
PIKE HEALTH SERVICES, INC
Doing business as
ADENA PIKE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 31, 2005
Last certification
Jun 27, 2013
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 4, 1983 in OH
Enrollment address
100 Dawn LN
Waverly, OH 45690-9138

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Adena Pike Medical CenterCCN 361334
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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
Anthony Fish Individual Corporate DirectorBoard Member Apr 6, 2009
Judith Schmitt Individual Corporate DirectorBoard Member Jul 1, 2016
Val Frances Individual Corporate DirectorBoard Member Apr 6, 2009
Lisa Henness Individual W-2 Managing EmployeeExecutive Assist. to Chief Finan Jul 1, 2017
Joshua Remy Individual Corporate DirectorBoard Member Sep 11, 2017
Lisa M Carlson Individual Corporate OfficerChief Financial Officer Jun 3, 2017
W-2 Managing EmployeeChief Financial Officer Jun 3, 2017
Anthony Dixon Individual Corporate DirectorBoard Member Feb 6, 2015
Kim Roe Individual Corporate Director May 17, 2021
David Kessler Individual Corporate DirectorBoard Member Jan 6, 2014
Adena Health System Organization, Chillicothe, OH Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2012 100%
Donna Gregory Individual Corporate DirectorBoard Member Sep 11, 2017
David M Zanni Individual W-2 Managing EmployeeAdministrator Nov 1, 2014
Constance Shelley Individual Corporate DirectorBoard Member Aug 6, 2012

Owners & managing parties with NPI records 4

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 172

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

View all 172

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1720018971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "address_2": "SUITE 3",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4460",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAWN LANE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909138",
            "telephone_number": "740-947-2186",
            "fax_number": "740-947-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GARDNER",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR SYSTEM FINANCE",
        "authorized_official_telephone_number": "740-779-4481"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "1299",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "1299",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL - DOL",
            "identifier": "037358600",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6942509",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL - ANTHEM",
            "identifier": "000000156779",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pike Community Hospital; Pike Medical & Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pike Community Hospital; Pike Medical & Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.