STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL (NPI# 1912082512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912082512 |
| Entity Type | Organization |
| Organization Name | STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL |
| Other Organization Name | WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC |
| Practice Address |
454 Mcdowell St Welch WV 24801-2029 |
| Practice Telephone | 3044368708 |
| Practice Fax Number | 3044368716 |
| Mailing Telephone | 3044368682 |
| Mailing Fax Number | 3044368716 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | MR. MARK F SIMPSON (CEO) |
| Authorized Official Telephone | 3044368708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | EXEMPT | WV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001848001 | 05 |
| Other Name | Type Code |
|---|---|
| Welch Community Hospital Golden Harvest LTC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154476513 | State of West Virginia Welch Emergency Hospital | Specialist | 454 Mcdowell St, Welch, WV 24801-2029 | 2007-01-24 |
| Street Address |
454 MCDOWELL ST |
| City | WELCH |
| State | WV |
| Zip Code | 24801-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306883921 | Julieta B. Sison | Physician Assistant | 454 Mcdowell St, Welch, WV 24801-2029 | 2006-06-01 |
| 1194362657 | Mary A Grimmett | Nurse Practitioner | 454 Mcdowell St, Welch, WV 24801-2029 | 2019-12-04 |
| 1104324409 | Community Health Systems Inc | Obstetrics & Gynecology | 454 Mcdowell St, Welch, WV 24801-2029 | 2018-02-01 |
| 1487176517 | Dorothy Marie Green | Nurse Practitioner | 454 Mcdowell St, Welch, WV 24801-2029 | 2017-07-11 |
| 1750834644 | Ashley Nicole Darago | Nurse Practitioner | 454 Mcdowell St, Welch, WV 24801-2029 | 2016-07-27 |
| 1093196883 | James C Salyers | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2015-06-17 |
| 1780006049 | Brittany Grace Addair | Physician Assistant | 454 Mcdowell St, Welch, WV 24801-2029 | 2014-01-06 |
| 1881023117 | Appalachian Mountains Medical, LLC | Anesthesiology | 454 Mcdowell St, Welch, WV 24801-2029 | 2013-11-07 |
| 1740564566 | Charlotte Buckner | Nurse Practitioner | 454 Mcdowell St, Welch, WV 24801-2029 | 2011-09-29 |
| 1831370469 | Erica Lynn Damewood | Nurse Anesthetist, Certified Registered | 454 Mcdowell St, Team Health/welch Community Hospital, Welch, WV 24801-2029 | 2007-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
| 1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
| 1154929545 | Amber Stacy | Technician | 3057 Maple Acres Road, Bluefield, WV 24801 | 2020-10-16 |
| 1639625270 | Kelly Beth Belt | Physician Assistant | 454 Mcdowell Street, Welch, WV 24801 | 2016-09-01 |
| 1396177333 | Donna Flaim | Physician Assistant | 19771 Coal Heritage Road Suite102, Welch, WV 24801 | 2013-08-01 |
| 1821437617 | Joshua Matthew Hopkins | Physician Assistant | 19771 Coal Heritage Road Suite 102, Welch, WV 24801 | 2013-06-14 |
| 1417088741 | Mcdowell Professioal Sleep Lab | Specialist/Technologist, Other | Route52 Main Street, Welch, WV 24801 | 2007-03-08 |
| 1073656641 | Looney Enterprises LLC | Optometrist | 794 Virginia Ave., Welch, WV 24801 | 2007-02-14 |
| 1124115829 | Rahmet Muzaffer | Pediatrics | 66 Elkins Street, Welch, WV 24801 | 2006-10-06 |
| 1619920600 | Nichole Maureen Horsford, M.d. | Psychiatry & Neurology | 151 Rt. 52 North, Welch, WV 24801 | 2006-05-18 |
| Find all providers in zip 24801 | ||||
| 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 |
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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.