NPIMap

Organization Active NPI

Bath County Community Hospital

Doing business as Bath Community Physicians Group Riverside

  • Rural Health Clinic/Center
  • Covington, VA
National Provider Identifier
1922632298
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BATH COUNTY COMMUNITY HOSPITAL
Doing business as
Bath Community Physicians Group Riverside
Practice address
322 W Riverside St
Covington, VA 24426-1219
Phone
(540) 962-1122
Fax
(540) 962-7881
NPI assigned
Feb 26, 2020
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BATH COUNTY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Jane Russell
Title
Chief Executive Officer
Phone
(540) 839-7123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

322 W Riverside St
Covington, VA 24426-1219

Mailing address

PO Box Z
Hot Springs, VA 24445-0750
Phone (540) 839-7175

Other names 1

  • BATH COMMUNITY PHYSICIANS GROUP RIVERSIDE Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000523 VA Part B Supplier - Clinic/Group Practice 0840193819 Receives reassigned benefits from 128 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hot Springs, VA
O20201103003009 VA Part A Provider - Rural Health Clinic 0840193819 Practice locations: Covington, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922632298. Details of each certification follow.

Rural health clinic certification: CCN 493461

Legal name
BATH COUNTY COMMUNITY HOSPITAL
Doing business as
BATH COMMUNITY PHYSICIANS GROUP-RIVERSIDE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 17, 2021
Last certification
Sep 17, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 30, 1925 in VA
Enrollment address
322 W Riverside St
Covington, VA 24426-1219
Related CCNs
491300

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

Other NPIs with the same Medicare PAC ID 5

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
49D2181491Bath Community Physicians Group-Riverside322 W Riverside Street, Covington, VA 24426Certificate of waiverApr 5, 2028

National Provider Directory

National Provider Directory
Part of
Bath County Community H

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Sarah McWilliams Individual Corporate DirectorBoard Member Apr 25, 2013
Jay L Bonfili Individual Corporate DirectorBoard Member Feb 24, 2017
Jane Russell Individual Corporate OfficerCeo Aug 25, 2025
Ghulam D Qureshi Individual Corporate DirectorBoard Member Apr 24, 2015
Tamra Stall Individual Corporate DirectorBoard Member Feb 23, 2018
Roxanne J Nicely Individual W-2 Managing EmployeeManager Ambulatory Clinics May 15, 2017
Tim Pistell Individual Corporate DirectorBoard Member Apr 24, 2015
Susan C Plecker Individual W-2 Managing EmployeeRHC Ins & Billing Specialist Jun 1, 2023
David a Cowden Individual Corporate DirectorBoard Member Dec 14, 2018
Meade Snyder Individual Corporate DirectorBoard Member Apr 22, 2017
Ralph R Clark Individual Corporate DirectorBoard Member Apr 24, 2015
Lewis Duffy Individual Corporate DirectorBoard Member Apr 28, 2017
George Phillips Individual Corporate DirectorBoard Member Jul 26, 2012
John B Loeffler Individual Corporate DirectorBoard Member Apr 22, 2016
Julie Anne Monroe Individual W-2 Managing EmployeeClinical Medical Dir Feb 10, 2017
Graham Scott Hetzer Individual Corporate DirectorBoard Member Apr 24, 2015
Clarence K Carroll Individual W-2 Managing EmployeeTeam Lead Jul 16, 2018

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1922632298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX Z",
            "city": "HOT SPRINGS",
            "state": "VA",
            "postal_code": "244450750",
            "telephone_number": "540-839-7175",
            "fax_number": "540-839-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W RIVERSIDE ST",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261219",
            "telephone_number": "540-962-1122",
            "fax_number": "540-962-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATH COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BATH COUNTY COMMUNITY HOSPITAL",
        "enumeration_date": "2020-02-26",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "540-839-7123"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BATH COMMUNITY PHYSICIANS GROUP RIVERSIDE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BATH COMMUNITY PHYSICIANS GROUP RIVERSIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, VA

Sources for this page

Verify at the official NPI Registry.