NPIMap

Organization Active NPI

Hospital Development Co

  • Rural Health Clinic/Center
  • Spencer, WV
National Provider Identifier
1922068469
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
74 Issued in WV
Legal business name
HOSPITAL DEVELOPMENT CO
Practice address
200 Hospital Dr
Spencer, WV 25276-1050
Phone
(304) 927-6819
Fax
(304) 927-6837
NPI assigned
Mar 27, 2006
Organization subpart
Yes
Parent organization
ROANE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 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) 927-6844

Other names 1

  • Roane General Medical Associates Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040710000241 WV Part A Provider - Rural Health Clinic 4183527476 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Walton, WV
O20101110000598 WV Part A Provider - Rural Health Clinic 4183527476 Practice locations: Spencer, WV

Rural health clinic certification: CCN 513417

Legal name
HOSPITAL DEVELOPMENT CO.
Doing business as
ROANE GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 27, 2013
Last certification
Jul 10, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jul 11, 1996 in WV
Enrollment address
7313 Charleston Rd
Walton, WV 25286-9613
Related CCNs
511306

Rural health clinic certification: CCN 513408

Legal name
HOSPITAL DEVELOPMENT CO.
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 20, 2004
Last certification
Jun 3, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 20, 2004 in WV
Enrollment address
300 Hospital Drive
Spencer, WV 25276-1049
Related CCNs
511306

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

Other NPIs with the same Medicare PAC ID 8

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.

National Provider Directory

National Provider Directory
Part of
Hospital Development Co

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Kevin Gaughan Individual Other Sep 26, 2016
Corporate DirectorDirector Oct 1, 2016
Floyd Bowlby Individual Other Oct 1, 2020
Emily Westfall Individual Other Sep 28, 2020
John Varda Individual Corporate Director May 27, 1999
Amy Downey Individual W-2 Managing Employee Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Grant Stephen Parkins Individual W-2 Managing EmployeeMedical Director Oct 1, 2014
Hospital Development Co. Organization, Spencer, WV Non-profit 5% Or Greater Direct Ownership Interest Jun 3, 2013 100%
Operational/Managerial Control Jun 3, 2013 100%
Operational/Managerial Control Apr 20, 2004
Douglas Bentz Individual Corporate DirectorEx Officio: Ceo Oct 4, 2000
W-2 Managing EmployeeCeo Oct 4, 2000
Corporate DirectorEx Officio: Ceo Oct 9, 2000
W-2 Managing EmployeeCeo Oct 9, 2000
John Taylor Individual Corporate Director Aug 20, 2004
Corporate Director Mar 28, 2002
Robert E. Zdanek Individual Corporate Director Jan 26, 2004
Jack Garrett Individual Corporate Director Jun 5, 1995
Gloria Atkinson Individual Corporate Director Sep 24, 2007
William Downey Individual Corporate Director May 24, 2001
Paul Hughes Individual Corporate Director May 28, 1998
Christine Hedges Individual Corporate Director Feb 28, 2011
Jennifer F McCulty Individual Corporate Director May 23, 2005
Hong-Kin NG Individual Corporate DirectorEx Officio: Chief of Medical Staff Jan 1, 2014
W-2 Managing EmployeeMedical Director Oct 1, 2013
Gregory Boggs Individual Corporate Director Sep 24, 2007

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Roane General HospitalSpencer, WV, CCN 515099 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 27, 1970
Jan 27, 1970
Roane General HospitalWalton, WV, CCN 513417 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 3, 2013
Jun 3, 2013
Southern Roane Medical ClinicLeft Hand, WV, CCN 513409 Rural health clinic Operational/Managerial Control Sep 25, 2005
Arnoldsburg Medical ClinicArnoldsburg, WV, CCN 513436 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 1, 2023

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1922068469",
    "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": "304-927-6844",
            "fax_number": "304-927-6837"
        },
        {
            "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": "304-927-6819",
            "fax_number": "304-927-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DEVELOPMENT CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROANE GENERAL HOSPITAL",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-11-08",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WV",
            "license": "74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roane General Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spencer, WV

Sources for this page

Verify at the official NPI Registry.