NPIMap

Organization Active NPI

Hampshire Memorial Hospital, Inc.

Doing business as Valley Health Hampshire Memorial Hospital Multispecialty Clinic

  • Rural Health Clinic/Center
  • Romney, WV
National Provider Identifier
1881735660
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HAMPSHIRE MEMORIAL HOSPITAL, INC.
Doing business as
Valley Health Hampshire Memorial Hospital Multispecialty Clinic
Practice address
329 Sunrise Blvd
Romney, WV 26757
Phone
(304) 822-4949
Fax
(304) 822-4957
NPI assigned
Feb 12, 2007
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HAMPSHIRE MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mrs. Renee Baker
Title
Insurance Credentialing Specialist
Phone
(540) 536-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

329 Sunrise Blvd
Romney, WV 26757

Mailing address

329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4949

Other names 1

  • Valley Health Hampshire Memorial Hospital Multispecialty Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071126000704 WV Part A Provider - Rural Health Clinic 2466558390 Practice locations: Romney, WV
O20090611000685 WV Part B Supplier - Clinic/Group Practice 2466558390 Receives reassigned benefits from 157 practitioners
2 other NPIs on this enrollment
Practice locations: Romney, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881735660. Details of each certification follow.

Rural health clinic certification: CCN 513988

Legal name
HAMPSHIRE MEMORIAL HOSPITAL, INC.
Doing business as
VALLEY HEALTH HAMPSHIRE MEMORIAL HOSPITAL MULTISPECIALTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 27, 1995
Last certification
Mar 24, 2026
Ownership / control type
2B
Most recent change of ownership
Jan 1, 2008 (1 total)
Organization structure
OtherNon-profit
Incorporated
Jun 13, 2006 in WV
Enrollment address
329 Sunrise Blvd
Romney, WV 26757-4607
Related CCNs
511311

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0884745Valley Health Hampshire Memorial Hospital329 Sunrise Boulevard, Romney, WV 26757Provider-performed microscopyApr 30, 2028

National Provider Directory

National Provider Directory
Part of
East Mountain Health Advantage Inc

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Robert M Amos Individual Corporate OfficerCfo Oct 4, 2009 100%
Valley Health System Organization, Winchester, VA 5% Or Greater Direct Ownership Interest Jan 1, 2008
Operational/Managerial Control Jan 1, 2008
Jill Chambers Individual W-2 Managing Employee Sep 1, 2017

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Valley Health Home Health/West VirginiaRomney, WV, CCN 517075 Home health agency 5% Or Greater Direct Ownership Interest (33.3%) Jan 1, 2008

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 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 162

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 162

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1881735660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 SUNRISE BLVD",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "26757",
            "telephone_number": "304-822-4949",
            "fax_number": "304-822-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 SUNRISE BLVD",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "26757",
            "telephone_number": "304-822-4949",
            "fax_number": "304-822-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPSHIRE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMPSHIRE MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "540-536-0231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Hampshire Memorial Hospital Multispecialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Romney, WV

Sources for this page

Verify at the official NPI Registry.