SELBY GENERAL HOSPITAL
NPI 1750180162
Clinic/Center - Rural Health in Waterford, OH
About Selby General Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SELBY GENERAL HOSPITAL (NPI 1750180162), doing business as Dept Of Primary Care Waterford, is a healthcare organization registered as a rural health in Waterford, Ohio and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Paul G Westbrock, Vp Legal Affairs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment 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).
Clinicians Billing Medicare Through This Organization
104Medicare enrollment records show 104 clinicians reassign Medicare billing to Selby General Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 104Source: 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 Waiver 36D0351164
Selby General Hospital · Waterford, OHFrequently 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 1750180162. It was assigned to this organization in the NPPES registry on March 10, 2025. The provider is doing business as Dept of Primary Care Waterford.
Where is Selby General Hospital located?
Selby General Hospital is located at 151 Anderson Ln, Waterford, OH 45786. The listed phone number is (740) 984-2332.
What is Selby General Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Selby General Hospital enrolled in Medicare?
Yes. Selby General Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Selby General Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 104 clinicians in 18 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 Emergency Medicine (25), Nurse Practitioner (22) and Family Practice (20). Of these, 3 practice at this address and 7 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 Waiver (number 36D0351164) is associated with this NPI, valid through April 10, 2028. 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 and CareSource 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 March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Selby General Hospital · NPI 1750180162
Rural Health organization in Waterford, Ohio. Organization record, active in the CMS NPPES registry since March 10, 2025.
## Identity
- **NPI:** 1750180162 (Entity type: Organization)
- **Enumerated:** March 10, 2025
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Dept of Primary Care Waterford (Doing Business As)
- **Organization subpart:** Yes (part of Selby General Hospital)
- **Authorized official:** Paul Westbrock, VP LEGAL AFFAIRS
## Practice location
- **Address:** 151 ANDERSON LN, Waterford, OH 45786-5312
- **Phone:** (740) 984-2332 · **Fax:** (740) 984-4435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 104 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (25), Nurse Practitioner (22), Family Practice (20); 3 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1750180162/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750180162) · Data from the CMS NPPES public registry.