SOUTHERN ROANE MEDICAL CLINIC
NPI 1790745677
Clinic/Center - Rural Health in Left Hand, WV
About Southern Roane Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN ROANE MEDICAL CLINIC (NPI 1790745677) is a healthcare organization registered as a rural health in Left Hand, West Virginia and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Doug Bentz, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Southern Roane Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
90Medicare enrollment records show 90 clinicians reassign Medicare billing to Southern Roane Medical Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 90Source: 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 51D1034229
Southern Roane Medical Clinic Roane General Hospital · Left Hand, WVFrequently 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 Hospital Development Co's NPI number?
The NPI number for Hospital Development Co is 1790745677. It was assigned to this organization in the NPPES registry on March 24, 2006. The provider is also known as Southern Roane Medical Clinic.
Where is Hospital Development Co located?
Hospital Development Co is located at 1 Library Ln, Left Hand, WV 25251. The listed phone number is (304) 927-6819.
What is Hospital Development Co's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Hospital Development Co enrolled in Medicare?
Yes. Hospital Development Co is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hospital Development Co?
According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 19 Medicare specialties reassign their Medicare billing to Hospital Development Co. 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 (16), Emergency Medicine (14) and Family Practice (12). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hospital Development Co hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D1034229) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hospital Development Co accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Hospital Development Co 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 Hospital Development Co was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Southern Roane Medical Clinic · NPI 1790745677
Rural Health organization in Left Hand, West Virginia. Organization record, active in the CMS NPPES registry since March 24, 2006.
## Identity
- **NPI:** 1790745677 (Entity type: Organization)
- **Enumerated:** March 24, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Hospital Development Co
- **Organization subpart:** Yes (part of Roane General Hospital)
- **Authorized official:** Doug Bentz, CEO
## Practice location
- **Address:** 1 LIBRARY LN, Left Hand, WV 25251-9745
- **Phone:** (304) 927-6819 · **Fax:** (304) 927-6837
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 90 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Emergency Medicine (14), Family Practice (12); [full list](https://npiprofile.com/npi/1790745677/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2010
- **Other identifiers:** Medicare ID-Type Unspecified HO5113061 (WV); Medicare OSCAR/certification 513409 (WV); Medicaid 3810004237 (WV)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1790745677) · Data from the CMS NPPES public registry.