NPIMap

Organization Active NPI

Camc Plateau Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Oak Hill, WV
National Provider Identifier
1821704347
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CAMC PLATEAU MEDICAL CENTER, INC.
Practice address
430 Main St W
Oak Hill, WV 25901-3414
Phone
(304) 469-8600
NPI assigned
Jan 27, 2023
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

430 Main St W
Oak Hill, WV 25901-3414

Mailing address

501 Morris St
Charleston, WV 25301-1326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230510002026 WV Part A Provider - Critical Access Hospital 4385009877 Practice locations: Oak Hill, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821704347. Details of each certification follow.

Hospital certification: CCN 51Z317

Legal name
CAMC PLATEAU MEDICAL CENTER, INC.
Doing business as
CAMC PLATEAU MEDICAL CENTER
Organization structure
CorporationProprietary
Incorporated
Dec 22, 2022 in WV
Enrollment address
430 Main St W
Oak Hill, WV 25901-3414
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Camc Plateau Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

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 DirectorVice President Dec 22, 2022
W-2 Managing EmployeeVice President Dec 22, 2022
David L Ramsey Individual Corporate DirectorPresident Dec 22, 2022
W-2 Managing EmployeePresident Dec 22, 2022
Chad Hovis Individual Corporate DirectorVP of Finance Dec 22, 2022
W-2 Managing EmployeeVP of Finance Dec 22, 2022
Vandalia Health Inc Organization, Charleston, WV Corporation 5% Or Greater Direct Ownership Interest Dec 22, 2022 100%
Operational/Managerial Control Dec 22, 2022 100%
Jeffrey D Sandene Individual Corporate DirectorTreasurer Dec 22, 2022
W-2 Managing EmployeeTreasurer Dec 22, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1821704347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MORRIS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN ST W",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013414",
            "telephone_number": "304-469-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMC PLATEAU MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "HOVIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "304-388-6251"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.