Organization Active NPI

Affinity Hospital LLC

Doing business as Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
National Provider Identifier
1023061405
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11822 Issued in AL
Legal business name
AFFINITY HOSPITAL LLC
Doing business as
Grandview Medical Center
Practice address
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone
(205) 971-1000
Fax
(205) 971-5653
NPI assigned
May 18, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11822 AL Primary

Addresses

Primary practice location

3690 Grandview Pkwy
Birmingham, AL 35243-3326

Mailing address

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

Other identifiers 1

IdentifierTypeStateIssuer
HOS0104HMedicaidAL

Other names 1

  • Grandview Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051201000959 AL Part A Provider - Hospital 5395765531 Practice locations: Birmingham, AL; Trussville, AL
O20210219000678 AL Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 142 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Enterprise, AL; Vestavia Hills, AL; Trussville, AL; Talladega, AL; Selma, AL; Prattville, AL; Opelika, AL; Mountain BRK, AL…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023061405. Details of each certification follow.

Hospital certification: CCN 010104

Legal name
AFFINITY HOSPITAL LLC
Doing business as
GRANDVIEW MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 8, 1966
Last certification
Apr 9, 2009
Beds
422
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2005 (1 total)
Organization structure
LLCProprietary
Incorporated
Aug 30, 2005 in DE
Enrollment address
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Grandview Medical CenterCCN 010104 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Affinity Hospital LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerPresident/Assistant Secretary Jan 6, 2026
Corporate DirectorPresident/Assistant Secretary Jan 6, 2026
William Bradley Cash Individual Corporate OfficerExecutive Vice President Jan 6, 2026
Corporate DirectorExecutive Vice President Jan 6, 2026
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Phillip a Posey Individual Corporate OfficerSenior Vice President Jan 6, 2026
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Birmingham Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Oct 1, 2005 1%
Jason Kevin Johnson Individual Corporate OfficerExecutive Vice President Jan 6, 2026
Corporate DirectorExecutive Vice President Jan 6, 2026
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Paula M Lalor Individual Corporate DirectorDirector PFS/Authorized Official Apr 1, 2017
Triad Healthcare LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Tennyson Holdings LLC Organization, Franklin, PA LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2007 100%
Edna S Buffington-Price Individual Corporate DirectorAuthorized Official Mar 1, 2022
Daniel E McKinney Individual W-2 Managing EmployeeCeo Dec 28, 2020
Affinity Health Systems, LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Oct 1, 2005 99%
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 1, 2017
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 120

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 82

Affiliated clinicians 829

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 829

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1023061405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-1000",
            "fax_number": "205-971-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-1000",
            "fax_number": "205-971-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "11822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0104H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grandview Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.