Organization Active NPI

QHG of Enterprise Inc

Doing business as Medical Center Enterprise

  • Medicare Defined Swing Bed Hospital Unit
  • Enterprise, AL
National Provider Identifier
1083157275
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H1603 Issued in AL
Legal business name
QHG OF ENTERPRISE INC
Doing business as
Medical Center Enterprise
Practice address
400 N Edwards St
Enterprise, AL 36330-2510
Phone
(334) 347-0584
Fax
(334) 347-2080
NPI assigned
Nov 21, 2016
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
QHG OF ENTERPRISE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H1603 AL Primary

Addresses

Primary practice location

400 N Edwards St
Enterprise, AL 36330-2510

Mailing address

400 N Edwards St
Enterprise, AL 36330-2510
Phone (334) 347-0584

Other names 1

  • Medical Center Enterprise Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170530000127 AL Part A Provider - Hospital 9234026691 Practice locations: Enterprise, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083157275. Details of each certification follow.

Hospital certification: CCN 01U049

Legal name
QHG OF ENTERPRISE INC
Doing business as
MEDICAL CENTER ENTERPRISE
Organization structure
CorporationProprietary
Incorporated
Dec 31, 1995 in AL
Enrollment address
400 N Edwards St
Enterprise, AL 36330-2510
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Medical Center Enterpri2 organizations share this tax ID, including this one
Part of
Medical Center Enterpri

Other organizations with this tax ID 1

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

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
QHG Georgia Holdings, Inc. Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 12, 2014 100%
Triad Nevada Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Sep 12, 2014 100%
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerPresident/Assist Sec/Board Memebr Jan 6, 2026
Corporate DirectorPresident/Assist Sec Jan 6, 2026
William Bradley Cash Individual Corporate OfficerExecutive VP Mar 1, 2022
Corporate DirectorExecutive VP 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%
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
Joey a Hester Individual W-2 Managing EmployeeCeo Jan 17, 2022
Triad Holdings V LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Paula M Lalor Individual Corporate Director 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 Jul 25, 2007 100%
Edna S Buffington-Price Individual Corporate DirectorVice President Mar 1, 2022
NC-DSH LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2014 100%
Christopher G Cobb Individual Corporate OfficerVP/Secretary Mar 1, 2022
CHS Community Health Systems Inc Organization, Franklin, TN Corporation, Chain home office 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 2

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1083157275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "334-347-0584",
            "fax_number": "334-347-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "334-347-0584",
            "fax_number": "334-347-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHG OF ENTERPRISE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QHG OF ENTERPRISE INC",
        "enumeration_date": "2016-11-21",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AL",
            "license": "H1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Enterprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.