POCAHONTAS MEMORIAL HOSPITAL
NPI 1104020163
Emergency Medicine in Buckeye, WV
NPI Status: Active since June 13, 2007
Contact Information
150 DUNCAN RD
BUCKEYE, WV
ZIP 24924
Phone: (304) 799-7400
Fax: (304) 799-6636
- Organization
- Emergency Medicine
- CLIA Number: 51D0233778
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-03-2026
About POCAHONTAS MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Pocahontas Memorial Hospital, a provider established in Buckeye, West Virginia operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1104020163 assigned on June 2007. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Barbara Lay (Ceo)
- NPI
- 1104020163
- Provider Name
- POCAHONTAS MEMORIAL HOSPITAL
- Entity Type
- Organization
- Location Address
- 150 DUNCAN RD BUCKEYE, WV 24924
- Location Phone
- (304) 799-7400
- Location Fax
- (304) 799-6636
- Mailing Address
- 150 DUNCAN RD BUCKEYE, WV 24924
- Mailing Phone
- (304) 799-7400
- Mailing Fax
- (304) 799-6636
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2007
- Last Update Date
- 06-09-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810000535 | MEDICAID (05) | WV |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D0233778
- Facility Type
- Hospital
- Certificate Effective Date
- November 04, 2024
- Certificate Expiration Date
- November 03, 2026
- Laboratory Director
- DR. DAVID V. WEBB
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pocahontas Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 2 | 0 | 1 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 2 | 0 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 2 + 0 + 1 + 1 + 2 + 24 = 37 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 37 = 3 | 3 | ||||||||
The NPI number 1104020163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740616853 | THOMAS MELKO Individual | Specialist | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-1049 |
| 1780082990 | KATHLEEN BROWN RD, LD Individual | Dietitian, Registered | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1104284157 | JASON L. RIFFE PTA Individual | Physical Therapy Assistant | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1992782031 | DR. MARK DUFF DO Individual | Family Medicine | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1609842251 | POCAHONTAS MEMORIAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1871534958 | POCAHONTAS MEMORIAL HOSPITAL Organization | Medicare Defined Swing Bed Unit | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1023390036 | POCAHONTAS MEMORIAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1346523206 | POCAHONTAS MEMORIAL HOSPITAL Organization | Clinic/Center (Rural Health) | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-6200 |
| 1124005160 | DR. KELBY LYN FAULKINER DO Individual | Family Medicine | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1487601647 | JEFFRY J. PILNEY M.D. Individual | Specialist | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1417990185 | BEVIN ELIZABETH SAUL PT Individual | Physical Therapist | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1407964570 | MATTHEW F LEE MD Individual | Emergency Medicine | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1215077110 | RECHELLE R HALL PA-C Individual | Physician Assistant (Medical) | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1942527858 | DR. ALAN ROBERT THORNE D.O. Individual | Family Medicine | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1376038489 | KATHERINE MAE PUGH Individual | Occupational Therapist | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1699289884 | MELANIE KAY TAYLOR PT Individual | Physical Therapist | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1164061404 | CHRISTOPHER RYAN REECE FNP-C Individual | Nurse Practitioner (Family) | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1528010220 | RICHARD R DURHAM MD Individual | Internal Medicine (Pulmonary Disease) | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1205099694 | VALARIE L. MONICO PA-C Individual | Physician Assistant (Medical) | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
| 1659942340 | DANIELLE RAE STUART PA-C Individual | Physician Assistant | 150 DUNCAN RD BUCKEYE, WV 24924 (304) 799-7400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104020163, enumerated in the NPI registry as an "organization" on June 13, 2007
The provider is located at 150 Duncan Rd Buckeye, Wv 24924 and the phone number is (304) 799-7400
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 51D0233778 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on June 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.