The Health Care Authority of the City of Anniston
Organization Active NPI General Acute Care Hospital · Anniston, AL
NPI 1003996000 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1003996000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 11773 (AL)
- Legal business name
- THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
- Practice address
- 400 E 10TH St
Anniston, AL 36207-4716 - Phone
- (256) 235-5860
- Fax
- (253) 235-5190
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Louis A Bass
- Title
- Ceo
- Phone
- (256) 235-5646
Owners & managing parties with NPI records 1
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 92
-
Syed Ahmed, MD
-
Sravani Bantu, M.D
-
Barry J Billings, MD
-
Crystal Bryan, FNP-C
-
David A Chalk, MD
-
Roland F Cook, MD
-
Louis Divalentin, M.D.
-
Khurram Fareed, MD
-
Christopher Austin George, MSN, ACNPC-AG, CRNP
-
Jessica Glass, CRNP
-
Adonis Carol Goodwin, CRNP, AGACNP-BC
-
Andrew Haynes, CRNP
-
James S Hixon, M.D.
-
David M Hopper, M.D.
-
Chidiebere Maquincy Ibekwe, M.D, MPH, FACP
-
Mohammad Kamran, M.D.
-
Cari P McAlister, CRNP
-
Jacob Brooks Moore, PA-C
-
Vance G Moore, M.D.
-
Julie Laura Brown Nix, FNP-C
-
Pamela Marie Norvell, APRN CNP
-
John I Nwogu, M.D.
Affiliated clinicians 292
-
Mustafa Iltimas Ahmed, M.D.
-
Syed Ahmed, MD
-
Adeoye Akimtola Aremu, M.D.
-
Vikram Arora, MD
-
George Edward Ash Jr., M.D.
-
Raashid Ashraf, MD
-
Naveen Kumar Bade, M.D
-
Benjamin B Bailey, M.D.
-
Joshua Nathan Bain, CRNP
-
Angus T Baird, MD
-
Donald V Baker, D.O. FACEP
-
Lucy K. Ballard, M.D.
-
Sravani Bantu, M.D
-
Candace Leann Barker, C.R.N.P.
-
Kenneth Oneil Barker II, CRNA
-
Timothy A. Barnes, PA-C/SA
-
Keith Alan Barrett, M.D.
-
Walter C Bell, MD
Medicare Care Compare: Hospital
- Listed as
- Northeast Alabama Regional Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0641705 | Northeast Alabama Regional Medical Center | Accreditation | Feb 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Hospital certification: CCN 010078
- Legal name
- THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
- Doing business as
- NORTHEAST ALABAMA REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Nov 13, 2001
- Beds
- 323
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Incorporated
- May 14, 1974 in AL
- Enrollment address
- 400 E 10TH St
Anniston, AL 36207-4716 - Hospital subgroups
- General, Psychiatric unit
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Kim Williamson |
Corporate Director |
Jan 1, 2012 | |
| W-2 Managing Employee |
Jan 1, 2012 | ||
| Karen Hill |
Corporate Director |
Dec 24, 2012 | |
| W-2 Managing Employee |
Dec 24, 2012 | ||
| Sandra F Sudduth |
Corporate Director |
Aug 1, 2007 | |
| The Health Care Authority of the City of Anniston |
Operational/Managerial Control | May 14, 1974 | |
| Hinton B Owsley |
5% Or Greater Indirect Ownership Interest |
May 18, 2021 | |
| Corporate Director | May 18, 2021 | ||
| Kimberly R Campbell |
Corporate Director |
Feb 1, 2025 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| The Health Care Authority of the City of Anniston |
Hospital | Operational/Managerial Control | May 14, 1974 |
| Anniston Health and Rehab Services |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest Adp of the SNF |
Aug 30, 2018 Apr 11, 2025 |
| Roanoke Rural Health Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Dec 1, 1981 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031203000272 | AL | Part B Supplier - Clinic/Group Practice | 3971408923 |
Receives reassigned benefits from 61 practitioners 2 other NPIs on this enrollment Practice locations: Anniston, AL; Oxford, AL; Jacksonville, AL |
| O20071029000438 | AL | Part a Provider - Hospital | 3971408923 | Practice locations: Oxford, AL; Jacksonville, AL; Anniston, AL |
National Provider Directory
Locations
1400 Highway Dr
Oxford, AL 36203
Phone (256) 231-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Psychiatric Hospital Unit | 273R00000X | 11773 | AL | |
| General Acute Care Hospital | 282N00000X | 11773 | AL | Yes |
Addresses
Primary practice location
400 E 10TH St
Anniston, AL 36207-4716
Mailing address
PO Box 1380
Anniston, AL 36202-1380
Phone (256) 235-5860
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16832700 | Other | AL | US DEPT OF LABOR - INPT |
| 75429 | Other | AL | BLUE CROSS HOME HLTH - OT |
| 000107731A | Medicaid | GA | |
| 010275806 | Medicaid | VA | |
| 03655214 | Medicaid | MS | |
| 41548 | Other | AL | BLUE CROSS HOME HLTH - RN |
| 1762482 | Medicaid | LA | |
| 010009 | Other | AL | BLUE CROSS |
| 374485400 | Other | AL | US DEPT OF LABOR - OP |
| 75428 | Other | AL | BLUE CROSS HOME HLTH - PT |
| NOR7031A | Medicaid | AL | |
| 75430 | Other | AL | BLUE CROSS HOME HLTH - ST |
| 5000013 | Other | AL | UNITED HEALTHCARE |
| 10392 | Other | AL | HEALTHSPRING OF ALABAMA |
| 913984200 | Medicaid | FL | |
| HOS0078H | Medicaid | AL |
Other names
- Northeast Alabama Regional Medical Center
Other providers in Anniston, AL
- Shannon Michelle Terrell
- Jacquline A Tessen
- The Arc of Calhoun and Cleburne Counties
- The Broad Place Counseling
- The Cardiovascular Clinics, PC
- The Health Care Authority of the City of Anniston
- The Health Care Authority of the City of Anniston
- The Pink Needle Medical Lab Services LLC
- The Surgical Clinic of Anniston, PA
- Thelma Reeves LCSW LLC
All providers in Anniston, AL · General Acute Care Hospital in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.