WEST VIRGINIA HEALTH CARE COOPERATIVE INC (NPI# 1194283192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194283192 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA HEALTH CARE COOPERATIVE INC |
| Other Organization Name | SUMMERSVILLE REGIONAL MEDICAL CENTER |
| Practice Address |
400 Fairview Heights Rd Summersville WV 26651-9308 |
| Practice Telephone | 3048728402 |
| Mailing Telephone | 3048728402 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | KAREN BOWLING (PRESIDENT/CEO) |
| Authorized Official Telephone | 3048728402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Summersville Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415324 | West Virginia Health Care Cooperative Inc | Urology | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-10 |
| 1407314313 | West Virginia Health Care Cooperative Inc | Pharmacy | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-10 |
| 1548728553 | West Virginia Health Care Cooperative Inc | Clinic/Center | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-08 |
| 1043778319 | West Virginia Health Care Cooperative Inc | Clinical Medical Laboratory | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-06 |
| Street Address |
400 FAIRVIEW HEIGHTS RD |
| City | SUMMERSVILLE |
| State | WV |
| Zip Code | 26651-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481014 | Jonathan B Dale | Emergency Medicine | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2005-07-19 |
| 1154929388 | Rachel Davis | Pharmacist | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2020-10-10 |
| 1326655838 | Georgiana Lane Jarvis | Pharmacist | 400 Fairview Heights Rd, Summersville, WV 26651 | 2020-09-29 |
| 1417415324 | West Virginia Health Care Cooperative Inc | Urology | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-10 |
| 1407314313 | West Virginia Health Care Cooperative Inc | Pharmacy | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-10 |
| 1548728553 | West Virginia Health Care Cooperative Inc | Clinic/Center | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-08 |
| 1043778319 | West Virginia Health Care Cooperative Inc | Clinical Medical Laboratory | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-06 |
| 1336692441 | Amy Mann | Nurse Practitioner | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2016-07-26 |
| 1124470778 | Nicholas Emergency Group, Pllc | Physician Assistant | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2016-07-07 |
| 1972968642 | Summersville Regional Medical Center | Specialist | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2015-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
| 1104425396 | Travis Giles | Physical Therapy Assistant | 2129 Canvas Nettie Rd, Summersville, WV 26651 | 2020-10-20 |
| 1043837586 | Clorinda L Workman | Registered Nurse | 221 Bright of America Road, Summersville, WV 26651 | 2020-07-01 |
| 1669947222 | Camden On Gauley Medical Center, Inc. | Clinic/Center | 70 Grade School Lane, Summersville, WV 26651 | 2018-10-10 |
| 1902310451 | Carolyn Maxwell Evans | Technician | 554 Ritchie Farm Road, Summersville, WV 26651 | 2017-11-20 |
| 1568904829 | Nicholas Community Action Partnership, Inc | Case Management | 1205 Broad Street, Summersville, WV 26651 | 2016-11-17 |
| 1831645647 | Rachel Hendricks | Psychologist | 400 Old Main Drive, Nicholas County Schools, Summersville, WV 26651 | 2016-08-31 |
| 1831592542 | Vass Vocational Services, In. | Case Manager/Care Coordinator | 304 Bibb Lane, Summersville, WV 26651 | 2014-10-08 |
| 1417229329 | Professional Medical Ultrasonics Inc. | Clinic/Center | 4089 Webster Rd Suite 5, Summersville, WV 26651 | 2012-02-08 |
| 1437426459 | All Med, LLC | Durable Medical Equipment & Medical Supplies | 602 Appalachian Dr., Summersville, WV 26651 | 2011-11-18 |
| Find all providers in zip 26651 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336524586 | Bridgeport Health Care Center, LLC | Nursing Facility/Intermediate Care Facility | Rt 4 Box 17, Bridgeport, WV 26330-9509 | 2015-07-29 |
| 1629453766 | Rainelle Center LLC | Nursing Facility/Intermediate Care Facility | 276 Pennsylvania Ave, Rainelle, WV 25962-1177 | 2015-07-29 |
| 1558754507 | Lewisburg Center LLC | Nursing Facility/Intermediate Care Facility | 979 Rocky Hill Rd, Ronceverte, WV 24970-8028 | 2015-03-16 |
| 1467845412 | Wellsburg Center LLC | Nursing Facility/Intermediate Care Facility | 70 Valley Haven Dr, Wellsburg, WV 26070-2625 | 2015-03-16 |
| 1508254319 | Mary Bird | Nursing Facility/Intermediate Care Facility | 590 North Poplar Fork Rd, Hurricane, WV 25526-9434 | 2014-12-31 |
| 1952536377 | Springfield Center LLC | Nursing Facility/Intermediate Care Facility | 10797 Seneca Trl S, Lindside, WV 24951-7345 | 2009-05-29 |
| 1720281975 | Pleasant Valley Nursing and Rehabilitation Center, Inc. | Nursing Facility/Intermediate Care Facility | 640 Sandhill Rd, Pt Pleasant, WV 25550-2163 | 2007-06-06 |
| 1255427415 | Bridgeport Senior Living, LLC | Nursing Facility/Intermediate Care Facility | Rr 4 Box 17, Bridgeport, WV 26330-9509 | 2006-10-05 |
| 1194816025 | Lakin Hospital | Nursing Facility/Intermediate Care Facility | 1 Bateman Cir, Lakin, WV 25287-9784 | 2006-09-27 |
| 1922100031 | Morgantown Healthcare Corp | Nursing Facility/Intermediate Care Facility | 30 Vandervort Dr, Morgantown, WV 26505 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERSVILLE |
| Zip Code | 26651 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.