WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC – NPI #1912082512
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.

WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC is a facility located in WELCH, WV. NPPES has assigned the NPI number 1912082512 to WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC” is a dba name, the actual legal business name for this organization is STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL. The primary taxonomy selected by this provider is 313M00000X from the Health Care Provider Taxonomy code set, which is classified as Nursing Facility/Intermediate Care Facility.

The NPI profile was previously updated about 6 years ago on Apr 02, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC below.

NPI Profile for
STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL

NPI Number
1912082512
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL
Doing Business As (dba): WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC
Primary location
454 MCDOWELL ST
WELCH, WV 24801-2029
Phone: (304) 436-8708 Fax: (304) 436-8716
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK SIMPSON
CEO
Phone: (304) 436-8708
Updated
Certification Date
Apr 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WELCH COMMUNITY HOSPITAL GOLDEN HARVEST LTC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWV0001848001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
313M00000X
- Nursing Facility/Intermediate Care Facility (Primary)
WV EXEMPT

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.