NPIMap

Organization Active NPI

Crestwood Healthcare LP

Doing business as Crestwood Medical Center

  • General Acute Care Hospital
  • Huntsville, AL
National Provider Identifier
1023061496
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H4501 Issued in AL
Legal business name
CRESTWOOD HEALTHCARE LP
Doing business as
Crestwood Medical Center
Practice address
1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone
(256) 882-3100
Fax
(256) 880-4246
NPI assigned
May 18, 2006
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Lithotripsy Clinic/Center 261QL0400X H4501 AL
General Acute Care Hospital 282N00000X H4501 AL Primary

Addresses

Primary practice location

1 Hospital Dr SW
Huntsville, AL 35801-6455

Mailing address

PO Box 849007
Dallas, TX 75284-9007
Phone (256) 882-3100

Other identifiers 1

IdentifierTypeStateIssuer
HOS010131HMedicaidAL

Other names 1

  • Crestwood 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
O20031020000026 AL Part A Provider - Hospital 9335051143 Practice locations: Huntsville, AL; Madison, AL; Harvest, 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 1023061496. Details of each certification follow.

Hospital certification: CCN 010131

Legal name
CRESTWOOD HEALTHCARE LP
Doing business as
CRESTWOOD MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1970
Last certification
Dec 27, 2001
Beds
147
Ownership / control type
Private (for profit)
Organization structure
PartnershipProprietary
Incorporated
Apr 23, 1996 in DE
Enrollment address
1 Hospital Dr
Huntsville, AL 35801-3498
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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
Crestwood Medical CenterCCN 010131 · 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
Access Phys GLBL Telemed9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

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

Locations

2506 Danville Rd SW
Ste 205
Decatur, AL 35603
Phone (256) 429-4537

185 Chateau Dr SW
Ste 200
Huntsville, AL 35801
Phone (256) 429-4700

250 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 881-1989

4790 Whitesport Cir SW
Huntsville, AL 35801
Phone (256) 429-5480

610 Airport Rd SW
Ste 100
Huntsville, AL 35802
Phone (256) 429-4809

700 Airport Rd SW
Ste H
Huntsville, AL 35802
Phone (256) 429-4000

20 Hughes Rd
Ste 102
Madison, AL 35758
Phone (256) 429-5675

20 Hughes Rd
Ste 2B
Madison, AL 35758
Phone (258) 429-4765

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Crestwood Hospital LP, LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Oct 30, 2015 71.58%
General Partnership Interest Oct 30, 2015 71.58%
Kevin J Hammons Individual Corporate OfficerPresident /Board Member Mar 1, 2022
Corporate DirectorPresident/Board Member Mar 1, 2022
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jun 1, 2018
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 13, 2013 100%
Crestwood Hospital, LLC Organization, Franklin, TN LLC General Partnership Interest Dec 6, 2007 28.42%
Triad Holdings III LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 13, 2013 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Triad Holdings IV LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 13, 2013 100%
Pamela Hudson Individual W-2 Managing EmployeeCeo Aug 1, 2007
Paula M Lalor Individual Corporate DirectorDelegated 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, TN LLC 5% Or Greater Indirect Ownership Interest Sep 13, 2013 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
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 Sep 13, 2013 100%

Facilities with the same owner 120

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

  • Affinity Hospital LLC

    dba Grandview Medical Center

    • General Acute Care Hospital
    • Birmingham, AL
    • NPI 1023061405

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Psychiatric Hospital Unit
    • Birmingham, AL
    • NPI 1043263221

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Rehabilitation Hospital Unit
    • Birmingham, AL
    • NPI 1720001019

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Foley Hospital Company LLC

    dba Baldwin Health

    • General Acute Care Hospital
    • Foley, AL
    • NPI 1053382655

    CHS Community Health Systems Inc, Community Health Systems Inc

    CMS ownership
  • Foley Hospital Company LLC

    dba Balding Health

    • Medicare Defined Swing Bed Hospital Unit
    • Foley, AL
    • NPI 1588635973

    CHS Community Health Systems Inc, Community Health Systems Inc

    CMS ownership
  • Gadsden Regional Medical Center LLC

    dba Gadsden Regional Medical Center

    • General Acute Care Hospital
    • Gadsden, AL
    • NPI 1225081516

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Gadsden Regional Medical Center LLC

    dba Gadsden Regional Medical Center

    • Psychiatric Hospital Unit
    • Gadsden, AL
    • NPI 1255355020

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • QHG of Enterprise Inc

    dba Medical Center Enterprise

    • Medicare Defined Swing Bed Hospital Unit
    • Enterprise, AL
    • NPI 1083157275

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • QHG of Enterprise Inc

    dba Medical Center Enterprise

    • General Acute Care Hospital
    • Enterprise, AL
    • NPI 1720039712

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Triad of Alabama LLC

    dba Flowers Hospital

    • General Acute Care Hospital
    • Dothan, AL
    • NPI 1801830500

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Bluffton, IN
    • NPI 1356839591

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • General Acute Care Hospital
    • Bluffton, IN
    • NPI 1376594366

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
View all 120

Practitioners & affiliated clinicians

Practitioners 56

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 56

Affiliated clinicians 540

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

View all 540

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": "1685404800000",
    "number": "1023061496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849007",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752849007",
            "telephone_number": "256-882-3100",
            "fax_number": "256-880-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016455",
            "telephone_number": "256-882-3100",
            "fax_number": "256-880-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD HEALTHCARE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "AL",
            "license": "H4501",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "H4501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS010131H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crestwood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.