PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC. (NPI# 1235311044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235311044 |
| Entity Type | Organization |
| Organization Name | PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC. |
| Other Organization Name | PCH BEHAVIORAL MEDICINE UNIT |
| Practice Address |
122 12th Street Ext Princeton WV 24740-2352 |
| Mailing Address |
122 12th Street Extension Princeton WV 24740-2352 |
| Practice Telephone | 3044877000 |
| Practice Fax Number | 3044877370 |
| Mailing Telephone | 3044877000 |
| Mailing Fax Number | 3044877370 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | MR. FRANK SINICROPE (CFO) |
| Authorized Official Telephone | 3044877263 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 104 | WV | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001111002 | 05 |
| Other Name | Type Code |
|---|---|
| PCH Behavioral Medicine Unit | Other Name - Individual/Organization |
| Street Address |
122 12TH STREET EXT |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936091 | Carlos Fernandez Delara | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-07-14 |
| 1104286913 | Jessica Moses | Speech-Language Pathologist | 122 12th Street Ext, Princeton, WV 24740-2352 | 2016-03-07 |
| 1669851200 | Darrell W Shrewsbury | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2015-05-28 |
| 1922365089 | Ges Hospitalist Services Inc | Family Medicine | 122 12th Street Ext, Princeton, WV 24740-2352 | 2012-04-13 |
| 1972891265 | Misty Dillow | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2011-07-20 |
| 1558594598 | Heather Leigh Harris | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2009-08-25 |
| 1598921884 | Margaret L Choate | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2008-08-06 |
| 1992971253 | Melissa Dawn Lilly | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2008-05-06 |
| 1447458609 | Brandon L Fain | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-07-10 |
| 1992923783 | Kristin Daveen Bowman | Internal Medicine | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619053329 | Princeton Community Hospital Assn. Inc. | Psychiatric Unit | 122 12th Street Ext, Princeton, WV 24740-2352 | 2006-10-27 |
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|---|---|---|---|---|
| 1962472548 | St Marys Medical Center, Inc | Psychiatric Unit | 2900 First Ave, Huntington, WV 25702 | 2006-01-25 |
| 1558342543 | West Virginia University Hospitals, Inc. | Psychiatric Unit | 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 | 2005-11-08 |
| 1770048043 | Davis Memorial Hospital | Psychiatric Unit | 812 Gorman Ave, Elkins, WV 26241-3181 | 2019-01-31 |
| 1649711722 | Alecto Healthcare Services Wheeling LLC | Psychiatric Unit | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-03-09 |
| 1689115776 | Alecto Healthcare Services Wheeling LLC | Psychiatric Unit | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-03-09 |
| 1841694908 | Herbert J Thomas Memorial Hospital Assoc | Psychiatric Unit | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2014-10-20 |
| 1346658440 | Alecto Healthcare Services Fairmont LLC | Psychiatric Unit | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-08-01 |
| 1669736997 | Weirton Medical Center | Psychiatric Unit | 601 Colliers Way, Weirton, WV 26062-5014 | 2012-07-02 |
| 1760657563 | Fairmont General Hospital | Psychiatric Unit | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2008-04-23 |
| 1265630057 | Uha | Psychiatric Unit | 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 | 2007-07-03 |
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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.