The Health Care Authority of Elba Alabama

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

10328 Issued in AL

Legal business name

THE HEALTH CARE AUTHORITY OF ELBA ALABAMA

Doing business as

Elba General Hospital

Practice address

987 Drayton Ave
Elba, AL 36323-1402

Phone

(334) 897-2257

Fax

(334) 897-1213

NPI assigned

Dec 22, 2005

Last updated

Apr 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris Noland, MHA, FACHE

Title

Chief Executive Officer

Phone

(334) 897-2257

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elba General Hospital Doing business as

Practitioners 5

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.

• Lance K Dyess, M.D.

  • Family Medicine Physician
  • Elba, AL
  • NPI 1912980269
  NPD
• Joyce Pfeifer Goetsch, M.D.

  • Internal Medicine Physician
  • Athens, AL
  • NPI 1629395082
  NPD
• Vinit V Patel, M D

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1457492340
  NPD
• Khizer M Siddiqi, MD

  • Emergency Medicine Physician
  • Flowood, MS
  • NPI 1386639904
  NPD
• Walter J Lawrence, MD

  • Family Medicine Physician
  • Enterprise, AL
  • NPI 1124067632
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1114904968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 DRAYTON AVE",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363231402",
            "telephone_number": "334-897-2257",
            "fax_number": "334-897-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 DRAYTON AVE",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363231402",
            "telephone_number": "334-897-2257",
            "fax_number": "334-897-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CARE AUTHORITY OF ELBA ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "NOLAND",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "334-897-2257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AL",
            "license": "10328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "143",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0027H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elba General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitchell V Purvis, O,D.
• Southeast Pharmaceuticals, Inc (Southeast Pharmaceuticals Vital Care)
• Southeast Pharmaceuticals, Inc.
• State of Alabama Department of Public Health (Coffee County Health Dept Flu-Pneu)
• Kenneth D. Strong, O.D.
• The Healthcare Authority of Elba Alabama (Joyce P. Goetsch, MD)
• The Healthcare Authority of Elba, Alabama (Elba Nursing Home)
• Kristi Williams, RBT
• Taylor Renee Zito

• Rural Acute Care Hospital in Elba, AL
• Providers in Elba, AL by specialty
• Rural Acute Care Hospital in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.