SELBY GENERAL HOSPITAL
NPI 1750180162
Clinic/Center - Rural Health in Waterford, OH

Active since March 10, 2025CLIA 36D0351164 · Waiver
151 ANDERSON LN, WATERFORD, OH 45786(740) 984-2332(740) 984-4435 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1750180162
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSELBY GENERAL HOSPITAL
Location Address151 ANDERSON LNWaterford, OH 45786-5312
Mailing Address401 Matthew StMarietta, OH 45750-1635
Fax(740) 984-4435
Organization SubpartYes
Authorized OfficialPaul G WestbrockVp Legal Affairs · (740) 374-1581
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
NPI 1750180162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
151 ANDERSON LN, Waterford, OH 45786

Other Names 1

Doing Business AsDept Of Primary Care Waterford

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, OH
Active · expires Apr 10, 2028
CLIA Number36D0351164
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorJeremy W. Waters
Laboratory Phone(740) 984-2332
Laboratory LocationSelby General Hospital151 Anderson Lane, Waterford, OH 45786
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
151 ANDERSON LN
WATERFORD, OH 45786
Internal Medicine
151 ANDERSON LN
WATERFORD, OH 45786
Nurse Practitioner (Family)
151 ANDERSON LN
WATERFORD, OH 45786
Nurse Practitioner (Acute Care)
151 ANDERSON LN
WATERFORD, OH 45786

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 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.

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.

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 16 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.