Geneva County Healthcare Authority Inc
Organization Active NPI Certified Registered Nurse Anesthetist · Geneva, AL
NPI 1003943531 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1003943531
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- GENEVA COUNTY HEALTHCARE AUTHORITY INC
- Practice address
- 1200 W Maple Ave
Geneva, AL 36340 - Phone
- (334) 684-3655
- Fax
- (334) 684-6564
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Janet Smith
- Title
- Ceo
- Phone
- (334) 684-3655
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 7
Practitioners 35
-
Tillman Hall, CRNA
-
James Robert Tucker, CRNA
-
Chang Yu, CRNA
-
William Hayden Childs, M.D.
-
Christopher C Smith, D.O.
-
Andrew Michael Britt, D.O
-
Joseph Allen Cook, M.D.
-
Ziv A Haims, D.O.
-
Bradley Scott Logan, M.D.
-
Ewane Ngone, MD
-
Nicholas Bass, AGPCNP-BC
-
Norma Hughes, C.R.N.P.
-
Anna M. Lee, MD
-
John Stanton, DO
-
Verne H Webster, M.D.
-
Tammy Gail Williams, FNP-C
-
Chrisenie Brusha Bass, APRN
-
Gabrielle F. Morris, M.D.
-
Paul Nicholas Motta, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Wiregrass Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 17, 2013 |
| Wiregrass Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 17, 2013 |
| Samson Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 1, 2019 Nov 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190206002405 | AL | Part B Supplier - Clinic/Group Practice | 0244222487 |
Receives reassigned benefits from 3 practitioners Practice locations: Geneva, AL |
National Provider Directory
- Tax ID family
- Geneva County Healthcare Authority Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | 11807 | AL | |
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
1200 W Maple Ave
Geneva, AL 36340
Mailing address
1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655
Other names
- WIREGRASS MEDICAL CENTER
Other providers in Geneva, AL
- Geneva County Health Dept Offsite Epsdt
- Geneva County Health Dept Pat 1St CM
- Geneva County Health Dept Prev Health Ed
- Geneva County Health Dept Pri Care
- Geneva County Health Dept VFC Immun
- Geneva County Healthcare Authority, Inc.
- Geneva County Healthcare Authority, Inc.
- Geneva County Healthcare Authority, Inc.
- Geneva County Healthcare Authority, Inc.
- Geneva County Healthcare Authority, Inc.
All providers in Geneva, AL · Certified Registered Nurse Anesthetist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.