Active NPI
Hospital Development Co. Dba Roane General Hospital
- Home Health Agency
- Spencer, WV
National Provider Identifier
1780645127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 74
- Legal business name
- HOSPITAL DEVELOPMENT CO. DBA ROANE GENERAL HOSPITAL
- Practice address
- 200 Hospital Dr
Spencer, WV 25276-1050 - Phone
- (304) 927-6514
- Fax
- (304) 927-6807
- NPI assigned
- Mar 28, 2006
- 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
- Doug Bentz
- Title
- Ceo
- Phone
- (304) 927-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 74 | WV | Primary |
Addresses
Primary practice location
200 Hospital Dr
Spencer, WV 25276-1050
Mailing address
200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-6514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123058005 | Medicaid | WV |
Other names 1
- Roane General Home Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780645127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761050",
"telephone_number": "304-927-6514",
"fax_number": "304-927-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761050",
"telephone_number": "304-927-6514",
"fax_number": "304-927-6807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL DEVELOPMENT CO. DBA ROANE GENERAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENTZ",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-927-6200"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WV",
"license": "74",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123058005",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Roane General Home Health",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Spencer, WV
Sources for this page
- 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.