NPIMap

Organization Active NPI

Selby General Hospital

  • Rural Health Clinic/Center
  • Marietta, OH
National Provider Identifier
1992699896
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SELBY GENERAL HOSPITAL
Practice address
320 E 8TH St
Marietta, OH 45750-3382
Phone
(740) 568-2212
Fax
(740) 373-4860
NPI assigned
Jun 5, 2025
Organization subpart
Yes
Parent organization
SELBY GENERAL HOSPITALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Paul G Westbrock
Title
VP Legal Affairs
Phone
(740) 374-1581

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 9

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

Other NPIs with the same Medicare PAC ID 9

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

Practitioners 9

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

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
36D1010498Selby General Hospital320 E 8TH St, Marietta, OH 45750Provider-performed microscopyOct 24, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040108000165 OH Part B Supplier - Clinic/Group Practice 9638087893 Receives reassigned benefits from 109 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, OH; Waterford, OH; Vincent, OH; Marietta, OH; Logan, OH; Caldwell, OH
O20250806003514 OH Part A Provider - Rural Health Clinic 9638087893 Practice locations: Marietta, OH

Rural health clinic certification: CCN 363456

Legal name
SELBY GENERAL HOSPITAL
Doing business as
320 E 8TH ST RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 9, 2025
Last certification
Oct 9, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
320 E 8TH St
Marietta, OH 45750-3382
Related CCNs
361319

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

All disclosed owners & managing parties 18

Medicare enrollment files

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

NameRoleSinceShare
James Barengo Individual Corporate DirectorBoard of Directors Jan 1, 2014
Sheryl Holdren Individual Corporate DirectorBoard of Directors Jan 1, 2017
Terry E Rataiczak Individual Corporate DirectorBoard of Directors Jan 1, 2019
Carol a Schneeberger Individual Corporate DirectorTreasurer Jan 1, 2020
Michael Iaderosa Individual Corporate DirectorBoard of Directors Oct 1, 2002
Victoria McGee Individual W-2 Managing EmployeeProvider Enrollment Supervisor May 1, 2014
Joseph D Cooper Individual Corporate DirectorBoard of Directors Jan 1, 2003
Rebekah Gilden Individual W-2 Managing EmployeeCompliance & Privacy Specialist Jun 1, 2011
Paul G Westbrock Individual Corporate OfficerCompliance Officer Jun 1, 2000
Colleen Cook Individual Corporate DirectorBoard of Directors Jan 1, 2010
Elizabeth a Helmick Individual Corporate DirectorBoard of Directors Feb 1, 2021
Christopher Alexander Cockerham Individual Corporate DirectorBoard of Directors Jan 1, 2020
Thomas Danford Individual Corporate DirectorSecretary Jan 1, 2005
Matthew Pottmeyer Individual Corporate DirectorBoard of Directors Jan 1, 2024
Hugh Sherman Individual Corporate DirectorBoard of Directors Jan 1, 2024
Michael Archer Individual Corporate DirectorPast Chairperson Jan 1, 2005
Gregg M Emerick Individual Corporate DirectorVice Chairperson Jan 1, 2019
Stephen C Keiser Individual Corporate DirectorChairperson Jan 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Selby Family Care7 organizations share this tax ID, including this one
Part of
Selby Family Care

Other organizations with this tax ID 6

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

320 E 8TH St
Marietta, OH 45750-3382

Mailing address

401 Matthew St
Marietta, OH 45750-1635

Other names 1

NPPES NPI Registry
  • 320 E 8th St Rural Health Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2025.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1992699896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 8TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503382",
            "telephone_number": "740-568-2212",
            "fax_number": "740-373-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELBY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELBY GENERAL HOSPITAL",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "WESTBROCK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "740-374-1581"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "320 E 8th St Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.