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 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104020163, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 37. The final step is to find the difference between that total and the next multiple of ten (40 - 37 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 37 is 40. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BUCKEYE, WV 24924
BUCKEYE, WV 24924
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104020163, enumerated 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.
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 verify.
