SUMMERSVILLE REGIONAL MEDICAL CENTER
NPI 1174513808
Nursing Facility/Intermediate Care Facility in Summersville, WV
NPI Status: Active since October 25, 2005
Contact Information
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV
ZIP 26651
Phone: (304) 872-2891
Fax: (304) 872-6854
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 51D0236879
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-22-2027
About SUMMERSVILLE REGIONAL MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Summersville Regional Medical Center, a provider established in Summersville, West Virginia operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1174513808 assigned on October 2005. The practitioner's primary taxonomy code is 313M00000X with license number 61 (WV). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's former legal business name is Summersville Memorial Hospital. The authorized official of this NPI record is Deborah Alice Kincell (Revenue Cycle Director)
- NPI
- 1174513808
- Provider Legal Name
- SUMMERSVILLE REGIONAL MEDICAL CENTER
- Other Organization Name
- SUMMERSVILLE MEMORIAL HOSPITAL
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651
- Location Phone
- (304) 872-2891
- Location Fax
- (304) 872-6854
- Mailing Address
- 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651
- Mailing Phone
- (304) 872-2891
- Mailing Fax
- (304) 872-6854
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2005
- Last Update Date
- 12-21-2016
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 61
- License State
- WV
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 61 (WV) |
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 |
|---|---|---|---|
| 0001243001 | MEDICAID (05) | WV | |
| 515029 | MEDICARE UPIN (02) | 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
- 51D0236879
- Facility Type
- Hospital
- Certificate Effective Date
- January 23, 2025
- Certificate Expiration Date
- January 22, 2027
- Laboratory Director
- GERALD WEDEMEYER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Summersville Regional Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1174513808, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. 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.
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174513808, enumerated as an "organization" on October 25, 2005.
The provider is located at 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 and the phone number is (304) 872-2891.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
