PRINCETON COMMUNITY HOSPITAL ASSN., INC. (NPI# 1558313213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558313213 |
| Entity Type | Organization |
| Organization Name | PRINCETON COMMUNITY HOSPITAL ASSN., INC. |
| Practice Address |
122 12th Street Ext Princeton WV 24740-2352 |
| Mailing Address |
Po Box 1369 Princeton WV 24740-1369 |
| Practice Telephone | 3044877000 |
| Practice Fax Number | 3044877370 |
| Mailing Telephone | 3044877000 |
| Mailing Fax Number | 3044877370 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-07-16 |
| Authorized Official Name | FRANK SINICROPE (CFO) |
| Authorized Official Telephone | 3044877263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 104 | WV | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008205350001 | 05 | |
| DC | 0150460 | 05 | |
| WV | 0001111002 | 05 | |
| KY | 01690544 | 05 | |
| SC | 10180B | 05 | |
| MD | 010065000 | 05 | |
| OH | 0233590 | 05 | |
| SC | 10175A | 05 | |
| WV | 0001110000 | 05 | |
| NC | 5100046 | 05 | |
| FL | 092732500 | 05 | |
| VA | 005100461 | 05 | |
| DC | 0350460 | 05 | |
| WV | 0001111001 | 05 | |
| NY | 00931939 | 05 |
| 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 |
| 1235311044 | Princeton Community Hospital Association, Inc. | Psychiatric Unit | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-12-04 |
| 1447458609 | Brandon L Fain | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-07-10 |
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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 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164882072 | Karen Goff | General Acute Care Hospital | 42 Pineview Flats Rd, Hambleton, WV 26269-8037 | 2016-03-04 |
| 1811241714 | Joseph Stephen Blevins | General Acute Care Hospital | 645 Lincolnshire Dr, Mineral Wells, WV 26150-6006 | 2012-10-31 |
| 1487905311 | Va Medical Center | General Acute Care Hospital | 292 Sherwood Dr, Huntington, WV 25704-9460 | 2012-10-02 |
| 1114243680 | Charleston Area Medical Center | General Acute Care Hospital | 3103 Maccorkle Ave Se, Charleston, WV 25304-1217 | 2010-04-08 |
| 1508005398 | Linguacare Associates, Inc. | General Acute Care Hospital | 1807 Mount Alpha Rd, Charleston, WV 25304-2736 | 2009-02-18 |
| 1477709921 | Huntington Va Medical Center | General Acute Care Hospital | 540 Spring Valley Dr, Huntington, WV 25704 | 2008-08-15 |
| 1356522783 | Ohio Valley Medical Center, Inc | General Acute Care Hospital | 2211 Eoff St, Wheeling, WV 26003-3807 | 2007-11-14 |
| 1962605931 | Wvu | General Acute Care Hospital | 740 Erow Ave, Morgantown, WV 26505-2579 | 2007-06-07 |
| 1619181393 | Wvu Department of Family Medicine | General Acute Care Hospital | 1 Med.center Dr., Morgantown, WV 26506 | 2007-05-10 |
| 1235229501 | Pinch Anesthesia Associates,inc. | General Acute Care Hospital | 11 Graystone Est, Elkview, WV 25071-9400 | 2006-10-14 |
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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.