SELBY GENERAL HOSPITAL
NPI 1124073465
General Acute Care Hospital - Critical Access in Marietta, OH

Active since May 24, 2006CLIA 36D0699957 · Accreditation
1106 COLEGATE DR, MARIETTA, OH 45750(740) 568-2040(740) 568-2089 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2021, Oct 30, 2019, Aug 30, 2019 and 1 more (4 updates tracked since 2019).

About Selby General Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELBY GENERAL HOSPITAL (NPI 1124073465) is a healthcare organization registered as a critical access in Marietta, Ohio and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through July 20, 2027 and lists Paige Smith, President, as its authorized official.

NPPES Registry Identity

NPI1124073465
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameSELBY GENERAL HOSPITAL
Location Address1106 COLEGATE DRMarietta, OH 45750-1323
Mailing Address1106 Colegate DrMarietta, OH 45750-1323 · (740) 568-2048 · Fax (740) 568-2094
Fax(740) 568-2089
Organization SubpartNo
Authorized OfficialPaige SmithPresident · (740) 568-2000
Enumeration DateMay 24, 2006
Last NPPES UpdateJanuary 22, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1124073465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
1106 COLEGATE DR, Marietta, OH 45750

Other Identifiers 2

Medicaid0001482000WV
Medicaid7943257OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selby General Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20081002000000Part A · Critical Access HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

258

Medicare enrollment records show 258 clinicians reassign Medicare billing to Selby General Hospital, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 145 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner42
Certified Registered Nurse Anesthetist (CRNA)36
Internal Medicine30
Emergency Medicine26
Family Practice23
Hospitalist12
Anesthesiology11
General Surgery7
29 other specialties71

Nearest to this location (20)

See all 258
Emergency Medicine
NPI 1134133747
1106 COLEGATE DR EMERGENCY DEPT
Marietta, OH 45750
(740) 568-2000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1730169822
1106 COLEGATE DR EMERGENCY DEPARTMENT
Marietta, OH 45750
(740) 568-2000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1144890880
1106 COLEGATE DR
Marietta, OH 45750
(740) 568-2000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1104890920
1106 COLEGATE DR EMERGENCY DEPT
Marietta, OH 45750
(740) 568-2000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1154326205
1106 COLEGATE DR EMERGENCY DEPT
Marietta, OH 45750
(740) 568-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659894921
400 MATTHEW ST STE 302
Marietta, OH 45750
(740) 568-5207
✔ PECOS✔ Accepts Medicare1.3 mi
Neurology
NPI 1649655028
400 MATTHEW ST STE 211
Marietta, OH 45750
(740) 568-4150
✔ PECOS✔ Accepts Medicare1.3 mi
Hospice/Palliative Care
NPI 1962608125
400 MATTHEW ST STE 209
Marietta, OH 45750
(740) 236-9088
✔ PECOS✔ Accepts Medicare1.3 mi
Physical Medicine and Rehabilitation
NPI 1609064617
400 MATTHEW ST STE 306
Marietta, OH 45750
(740) 376-5044
✔ PECOS✔ Accepts Medicare1.3 mi
General Surgery
NPI 1952695330
400 MATTHEW ST STE 401
Marietta, OH 45750
(740) 374-2252
✔ PECOS✔ Accepts Medicare1.3 mi
Obstetrics/Gynecology
NPI 1932175858
400 MATTHEW ST STE 212
Marietta, OH 45750
(740) 434-0574
✔ PECOS✔ Accepts Medicare1.3 mi
Interventional Cardiology
NPI 1063489425
400 MATTHEW ST STE 302
Marietta, OH 45750
(740) 568-5207
✔ PECOS✔ Accepts Medicare1.3 mi
Pulmonary Disease
NPI 1780079236
400 MATTHEW ST STE 305
Marietta, OH 45750
(740) 568-5662
✔ PECOS✔ Accepts Medicare1.3 mi
Cardiovascular Disease (Cardiology)
NPI 1972528040
400 MATTHEW ST STE 302
Marietta, OH 45750
(740) 568-5207
✔ PECOS✔ Accepts Medicare1.3 mi
Gastroenterology
NPI 1073565917
400 MATTHEW ST STE 201
Marietta, OH 45750
(740) 568-4590
✔ PECOS✔ Accepts Medicare1.3 mi
Neurosurgery
NPI 1356570287
400 MATTHEW ST STE 101
Marietta, OH 45750
(740) 568-4150
✔ PECOS✔ Accepts Medicare1.3 mi
Urology
NPI 1669440814
400 MATTHEW ST STE 303
Marietta, OH 45750
(740) 373-7828
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1366020968
401 MATTHEW ST
Marietta, OH 45750
(740) 374-7700
✔ PECOS✔ Accepts Medicare1.3 mi
Emergency Medicine
NPI 1477057883
401 MATTHEW ST
Marietta, OH 45750
(740) 376-1939
✔ PECOS✔ Accepts Medicare1.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801380084
401 MATTHEW ST
Marietta, OH 45750
(740) 376-1994
✔ Accepts Medicare1.3 mi
See all 258 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 36D0699957

Selby General Hospital · Marietta, OH
Active · expires Jul 20, 2027
CLIA Number36D0699957
Laboratory TypeHospital
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorDr. Matthew J. Macatol
Laboratory Phone(740) 568-2000
Laboratory LocationSelby General Hospital1106 Colegate Drive, Marietta, OH 45750
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selby General Hospital's NPI number?

The NPI number for Selby General Hospital is 1124073465. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Selby General Hospital located?

Selby General Hospital is located at 1106 Colegate Dr, Marietta, OH 45750. The listed phone number is (740) 568-2040.

What is Selby General Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Selby General Hospital enrolled in Medicare?

Yes. Selby General Hospital is registered in the Medicare PECOS enrollment system.

When is Selby General Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Ohio, Critical Access Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Selby General Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 258 clinicians in 37 Medicare specialties reassign their Medicare billing to Selby General Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (42), Certified Registered Nurse Anesthetist (CRNA) (36) and Internal Medicine (30). Of these, 5 practice at this address and 145 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Selby General Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 36D0699957) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Selby General Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Selby General Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Selby General Hospital was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.