| Contacts | Authorizing Official | Update | AO Change Request | Vandenhoven, Tom
CFO
Bath Community Hospital
5408397138 | Romine, Marita
CFO
Bath Community Hospital
5408397082 | 12/3/2024 7:16 AM |
| Details | Last Recertification Date | Update | Recertification | 8/16/2023 7:47:03 AM | 8/19/2024 3:59:19 PM | 8/19/2024 3:59 PM |
| Details | Last Recertification Date | Update | Recertification | 9/14/2022 3:15:49 PM | 8/16/2023 7:47:03 AM | 8/16/2023 7:47 AM |
| Contacts | Primary Contact | Update | Group Change Request | Craft, Lisa Carroll
Director of Clinical Operations
Bath Community Hospital
5408397188 | Conley, Jill
Director of Pharmacy
Bath Community Hospital
5408397079 | 7/10/2023 1:13 PM |
| Addresses | Billing Address | Update | Change Request | Bath County Community Hospital
PO Drawer Z
Hot Springs, VA 24445 | Bath County Community Hospital
P.O. Drawer Z
Hot Springs, VA 24445 | 10/12/2022 4:21 PM |
| Details | Last Recertification Date | Update | Recertification | 9/9/2021 11:00:28 AM | 9/14/2022 3:15:49 PM | 9/14/2022 3:15 PM |
| Addresses | Shipping Address | Insert | Change Request | | Bath County Community Hospital
106 Park Drive
Hot Springs, VA 24445 | 4/18/2022 8:49 AM |
| Addresses | Shipping Address | Insert | Change Request | | Bath Community Pharmacy
9405 Sam Snead Highway
Hot Springs, VA 24445 | 4/18/2022 8:49 AM |
| Addresses | Billing Address | Update | Change Request | Bath Community Hospital
PO Drawer Z
Hot Springs, VA 24445 | Bath County Community Hospital
PO Drawer Z
Hot Springs, VA 24445 | 4/18/2022 8:49 AM |
| Contacts | Primary Contact | Update | Group Change Request | Holroyd, Doug
Director, Pharmacy Services
Bath Communty Hospital
5408397076 | Craft, Lisa Carroll
Director of Clinical Operations
Bath Community Hospital
5408397188 | 2/22/2022 6:28 AM |
| Contacts | Authorizing Official | Update | AO Change Request | Craft, Lisa Carroll
Director of Clinical Operations
Bath Community Pharmacy
5408397188 | Vandenhoven, Tom
CFO
Bath Community Hospital
5408397138 | 1/25/2022 10:04 AM |
| Contacts | Primary Contact | Update | Profile Change Request | Holroyd, Doug
Director, Pharmacy Services
Bath Communty Hospital
5408397076-5408397138 | Holroyd, Doug
Director, Pharmacy Services
Bath Communty Hospital
5408397076 | 11/5/2021 12:21 PM |
| Contacts | Authorizing Official | Update | Profile Change Request | Craft, Lisa Carroll
Director of Clinical Operations
Bath Community Pharmacy
1540839718 | Craft, Lisa Carroll
Director of Clinical Operations
Bath Community Pharmacy
5408397188 | 11/4/2021 2:15 PM |
| Details | Last Recertification Date | Update | Recertification | 8/31/2020 11:36:10 AM | 9/9/2021 11:00:28 AM | 9/9/2021 11:00 AM |
| Contacts | Authorizing Official | Update | Change Request | Shipman, Deborah Alison
CFO
Bath Community Hospital
5408397138 | Craft, Lisa Carroll
Director of Clinical Operations
Bath Community Pharmacy
1540839718 | 8/3/2021 8:36 AM |
| Contacts | Authorizing Official | Update | Change Request | Lightner, Kari Obaugh
Chief Operating Officer
Bath County Community Hospital
5408397106 | Shipman, Deborah Alison
CFO
Bath Community Hospital
5408397138 | 3/12/2021 4:49 PM |
| Contacts | Primary Contact | Update | Change Request | Holroyd, Doug
Director, Pharmacy Services
Bath Communty Hospital
5408397076 | Holroyd, Doug
Director, Pharmacy Services
Bath Communty Hospital
5408397076-5408397138 | 3/9/2021 4:25 PM |
| Details | Last Recertification Date | Update | Recertification | 9/12/2019 4:09:59 PM | 8/31/2020 11:36:10 AM | 8/31/2020 11:36 AM |
| Contacts | Authorizing Official | Update | AO Change Request | Landreth, Kathy S.
CEO
Bath Community Hospital
5408397123 | Lightner, Kari Obaugh
Chief Operating Officer
Bath County Community Hospital
5408397106 | 8/27/2020 4:06 PM |
| Details | Last Recertification Date | Update | Recertification | 8/21/2018 5:29:20 PM | 9/12/2019 4:09:59 PM | 9/12/2019 4:09 PM |
| Details | Last Recertification Date | Update | Recertification | 11/29/2017 12:12:06 PM | 8/21/2018 5:29:20 PM | 8/21/2018 5:29 PM |
| Details | Last Recertification Date | Update | Recertification | 8/31/2016 12:00:00 AM | 11/29/2017 12:12:06 PM | 11/29/2017 12:12 PM |
| Contacts | Authorizing Official | Update | | Landreth, Kathy S.
CEO
5408397123 | Landreth, Kathy S.
CEO
Bath Community Hospital
5408397123 | 11/28/2017 11:27 AM |
| Contacts | Primary Contact | Update | | Holroyd, Doug
Director, Pharmacy Services
5408397076 | Holroyd, Doug
Director, Pharmacy Services
Bath Communty Hospital
5408397076 | 11/9/2017 12:24 PM |
| Contacts | Authorizing Official | Update | | Paret, Jason
CEO
5408397000-7069 | Landreth, Kathy S.
CEO
5408397123 | 1/26/2017 2:13 PM |
| Addresses | Main Address | Insert | | |
106 Park Drive
Hot Springs, VA 24445 | 8/31/2016 9:34 AM |
| Contacts | Signed By | Insert | | | Fontana, Margaret
CFO
5408397104-7104 | 8/31/2016 9:34 AM |
| Contacts | Primary Contact | Update | | Parker, Patricia
VP Ancillary Services
5408397123 | Holroyd, Doug
Director, Pharmacy Services
5408397076 | 8/31/2016 9:34 AM |
| Details | Last Recertification Date | Update | | 9/1/2015 12:00:00 AM | 8/31/2016 12:00:00 AM | 8/31/2016 9:34 AM |
| Details | Last Recertification Date | Update | | 8/22/2014 12:00:00 AM | 9/1/2015 12:00:00 AM | 9/1/2015 10:21 AM |
| Contacts | Primary Contact | Update | | Hutchinson, Beth
Pharmacist
5408397076-7076 | Parker, Patricia
VP Ancillary Services
5408397123 | 8/13/2015 1:12 PM |
| Addresses | Billing Address | Insert | | | Bath Community Hospital
PO Drawer Z
Hot Springs, VA 24445 | 8/13/2015 1:12 PM |
| Contacts | Authorizing Official | Insert | | | Paret, Jason
CEO
5408397000-7069 | 9/8/2014 7:46 AM |
| Details | Last Recertification Date | Update | | | 8/22/2014 12:00:00 AM | 8/22/2014 10:24 AM |
| Contacts | Primary Contact | Insert | | | Hutchinson, Beth
Pharmacist
5408397076-7076 | 4/10/2014 7:31 PM |
| Dates | Participating Approval Date | Update | | | 11/8/2013 12:00:00 AM | 11/8/2013 11:11 AM |
| Details | State | Update | | Pending | Active | 11/8/2013 11:11 AM |
| Dates | Start Date | Update | | | 1/1/2014 12:00:00 AM | 11/8/2013 11:11 AM |
| Details | 340B ID | Update | | ONLINE_REG | CAH491300-00 | 11/4/2013 12:42 PM |
| Details | Last Recertification Date | Insert | | | | 10/10/2013 4:03 PM |
| Details | Grant Number | Insert | | | | 10/10/2013 4:03 PM |
| Details | 340B ID | Insert | | | ONLINE_REG | 10/10/2013 4:03 PM |
| Details | Is Authorizing Official EHB Data | Insert | | | | 10/10/2013 4:03 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 10/10/2013 4:03 PM |
| Details | Medicare Provider Number | Insert | | | 491300 | 10/10/2013 4:03 PM |
| Details | Entity Name | Insert | | | Bath County Community Hospital, Inc. | 10/10/2013 4:03 PM |
| Details | Program Code | Insert | | | CAH | 10/10/2013 4:03 PM |
| Details | Entity Subname | Insert | | | | 10/10/2013 4:03 PM |
| Dates | Participating Approval Date | Insert | | | | 10/10/2013 4:03 PM |
| Details | State | Insert | | | Pending | 10/10/2013 4:03 PM |
| Dates | Registration Date | Insert | | | 10/10/2013 12:00:00 AM | 10/10/2013 4:03 PM |
| Dates | Signed By Date | Insert | | | 10/10/2013 12:00:00 AM | 10/10/2013 4:03 PM |
| Dates | Start Date | Insert | | | | 10/10/2013 4:03 PM |
| Terminations | Termination Comments | Insert | | | | 10/10/2013 4:03 PM |
| Terminations | Termination Date | Insert | | | | 10/10/2013 4:03 PM |
| Terminations | Termination Effective Date | Insert | | | | 10/10/2013 4:03 PM |
| Terminations | Termination Reason | Insert | | | | 10/10/2013 4:03 PM |