DBA ATHENS MEDICAL CENTER
NPI 1972610863
Family Medicine in Athens, WV

Active since August 24, 2006CLIA 51D0233565 · Waiver
401 VERMILLION ST., ATHENS, WV 24712(304) 384-7325(304) 384-8870 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dba Athens Medical Center NPPES

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

DBA ATHENS MEDICAL CENTER (NPI 1972610863) is a healthcare organization registered as a family medicine in Athens, West Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Omar R Kassem, Physician, as its authorized official.

NPPES Registry Identity

NPI1972610863
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRINCETON COMMUNITY HOSPITAL ASSN., INC
Location Address401 VERMILLION ST.Athens, WV 24712
Mailing AddressPo Box 697Athens, WV 24712-0697 · (304) 384-7325 · Fax (304) 384-8870
Fax(304) 384-8870
Organization SubpartNo
Authorized OfficialOmar R KassemPhysician · (304) 384-7325
Enumeration DateAugust 24, 2006
Last NPPES UpdateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
NPI 1972610863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 20079
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

401 VERMILLION ST., Athens, WV 24712

Other Names 1

Doing Business AsDba Athens Medical Center

Other Identifiers 1

Medicaid0034866000WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 51D0233565

Princeton Community Hospital Association Dba Athens Medical Center · Athens, WV
Active · expires Oct 25, 2027
CLIA Number51D0233565
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorDr. Shayna Tomchin
Laboratory Phone(304) 384-7325
Laboratory LocationPrinceton Community Hospital Association Dba Athens Medical Center401 Vermillion St, Athens, WV 24712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Princeton Community Hospital Assn., Inc's NPI number?

The NPI number for Princeton Community Hospital Assn., Inc is 1972610863. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Dba Athens Medical Center.

Where is Princeton Community Hospital Assn., Inc located?

Princeton Community Hospital Assn., Inc is located at 401 Vermillion St., Athens, WV 24712. The listed phone number is (304) 384-7325.

What is Princeton Community Hospital Assn., Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Princeton Community Hospital Assn., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0233565) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Princeton Community Hospital Assn., Inc accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Princeton Community Hospital Assn., Inc 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 Princeton Community Hospital Assn., Inc was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.