NPIMap

Organization Active NPI

Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • New Castle, VA
National Provider Identifier
1851585046
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES
Practice address
226 Market Street
New Castle, VA 24127-0370
Phone
(540) 864-6390
Fax
(540) 864-6356
NPI assigned
Aug 30, 2007
Last updated
Jan 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Mrs. Rebekah L Stone
Title
Cfo
Phone
(304) 772-3064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X VA Primary

Addresses

Primary practice location

226 Market Street
New Castle, VA 24127-0370

Mailing address

PO Box 590
200 Health Center Drive
Union, WV 24983
Phone (304) 772-3064

Other identifiers 2

IdentifierTypeStateIssuer
1851585046MedicaidVA
VAA104451OtherGROUP PTAN

Other names 1

  • Craig County Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080108000602 VA Part A Provider - Federally Qualified Health Center (FQHC) 3173432671 Practice locations: New Castle, VA
O20110314000971 VA Part B Supplier - Clinic/Group Practice 3173432671 Receives reassigned benefits from 11 practitioners
Practice locations: New Castle, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851585046. Details of each certification follow.

Federally qualified health center certification: CCN 491881

Legal name
MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES
Doing business as
CRAIG COUNTY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 3, 2008
Last certification
Mar 3, 2008
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Aug 30, 2007 in VA
Enrollment address
226 Market St
New Castle, VA 24127-6080

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Salvatore Bellassai Individual Corporate Director Jul 27, 2022
James Holtman Individual Corporate Director Sep 1, 2017
Richard Miller Individual Corporate Director Jan 1, 2020
James Nelson Individual Contracted Managing EmployeeCeo Dec 1, 2014
Corporate Officer Dec 1, 2014
W-2 Managing Employee Dec 1, 2014
Vaden R Tabor Individual Corporate Director May 1, 2018
Wayne D Spangler Individual Corporate DirectorBoard Member Dec 30, 2007
Scott King Individual Corporate Director Aug 25, 2021
Shirley H Dixon Individual Corporate DirectorBoard Member Feb 21, 2003
Amy Mann Individual Corporate Director Apr 1, 2018
Monroe County Health Center Board of Trustees Organization, Union, WV Non-profit Operational/Managerial Control Aug 30, 2007 100%
Walter Marsden Individual Corporate DirectorBoard Member Dec 30, 2007
Janet W Caulkins Individual Corporate DirectorBoard Member Feb 21, 2003
Michelle Ballard Individual W-2 Managing EmployeeChief Operations Officer May 7, 2015
Operational/Managerial ControlChief Operations Officer Jan 1, 2009
Jeffry a Pritt Individual Corporate DirectorBoard Member Dec 30, 2007
Melissa F Boggs Individual Corporate DirectorBoard Member Dec 30, 2007

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monroe Health CenterUnion, WV, CCN 511837 Federally qualified health center Operational/Managerial Control (100%) Jun 30, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1851585046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "address_2": "200 HEALTH CENTER DRIVE",
            "city": "UNION",
            "state": "WV",
            "postal_code": "24983",
            "telephone_number": "304-772-3064",
            "fax_number": "304-772-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MARKET STREET",
            "city": "NEW CASTLE",
            "state": "VA",
            "postal_code": "241270370",
            "telephone_number": "540-864-6390",
            "fax_number": "540-864-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-772-3064",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851585046",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "VAA104451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig County Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Craig County Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Castle, VA

Sources for this page

Verify at the official NPI Registry.