Organization Active NPI

St Marys Medical Center, Inc

  • Psychiatric Hospital Unit
  • Huntington, WV
National Provider Identifier
1962472548
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
46 Issued in WV
Legal business name
ST MARYS MEDICAL CENTER, INC
Practice address
2900 First Ave
Huntington, WV 25702
Phone
(304) 526-1014
Fax
(304) 526-1021
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Angela Swearingen
Title
Coo
Phone
(304) 526-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 46 WV Primary

Addresses

Primary practice location

2900 First Ave
Huntington, WV 25702

Mailing address

2900 First Ave
Huntington, WV 25702
Phone (304) 526-1014

Other identifiers 2

IdentifierTypeStateIssuer
0001287001MedicaidWV
0001287002OtherWVUNDER 21 PSYCH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070518000077 WV Part A Provider - Hospital 6800866187 Practice locations: Huntington, WV

Hospital certification: CCN 51S007

Legal name
ST MARYS MEDICAL CENTER, INC
Organization structure
CorporationNon-profit
Incorporated
Dec 28, 1990 in WV
Enrollment address
2900 1St Ave
Huntington, WV 25702-1241
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric 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
St Marys Medical Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Locations

1498 Southgate Ave
Daly City, CA 94015
Phone (650) 755-4490

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
Marshall Health Network Inc Organization, Huntington, WV Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2023 100%
Mike J Cartwright Individual W-2 Managing Employee Aug 1, 2023
St Marys Medical Center, Inc Organization, Huntington, WV Non-profit 5% Or Greater Direct Ownership Interest Dec 28, 1990 100%
Operational/Managerial Control Dec 28, 1990 100%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
St Marys Medical Center, IncHuntington, WV, CCN 515113 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Dec 28, 1990
Dec 28, 1990
St. Mary'S Home Health ServiceHuntington, WV, CCN 517055 Home health agency 5% Or Greater Direct Ownership Interest (33%) Dec 1, 2007
St. Marys Home Health ServiceProctorville, OH, CCN 368269 Home health agency 5% Or Greater Direct Ownership Interest (33%) Feb 11, 2008

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1962472548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FIRST AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25702",
            "telephone_number": "304-526-1014",
            "fax_number": "304-526-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FIRST AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25702",
            "telephone_number": "304-526-1014",
            "fax_number": "304-526-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "SWEARINGEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "304-526-1224"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "WV",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001287001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNDER 21 PSYCH",
            "identifier": "0001287002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.