Fayette Community Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

129 Issued in WV

Legal business name

FAYETTE COMMUNITY HEALTH CARE

Doing business as

Hidden Valley Health Care Center

Practice address

422 23Rd St
Oak Hill, WV 25901-2830

Phone

(304) 465-1903

Fax

(304) 949-3807

NPI assigned

May 24, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Calvin L Sutphin II, NHA

Title

Administrator

Phone

(304) 465-1903

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hidden Valley Health Care Center Doing business as

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720081615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 23RD ST",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012830",
            "telephone_number": "304-465-1903",
            "fax_number": "304-949-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 23RD ST",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012830",
            "telephone_number": "304-465-1903",
            "fax_number": "304-949-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COMMUNITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTPHIN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-465-1903",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003674000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hidden Valley Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Elizabeth Epperly, CCC/SLP
• Jami Evans
• Tonya Kay Evans, MS
• Travis Evans
• Charity Yvonne Farence
• Autumn L. Feazell, FNP-BC
• Alan Thomas Fell, CRNA
• Nathan Graham Fell, CRNA, DMPNA
• Jeanette Fields
• Sarah Allison Fields, M.A. CCC-SLP

• Skilled Nursing Facility in Oak Hill, WV
• Providers in Oak Hill, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.