NPIMap

Organization Active NPI

Escambia County Alabama Community Hospitals, Inc

Doing business as Atmore Community Hospital

  • Rural Acute Care Hospital
  • Atmore, AL
National Provider Identifier
1124073879
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Doing business as
Atmore Community Hospital
Practice address
401 Medical Park Dr
Atmore, AL 36502-3006
Phone
(251) 368-6362
NPI assigned
May 23, 2006
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Bradley Lowery
Title
Administrator
Phone
(251) 368-6362

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X
Rural Acute Care Hospital 282NR1301X Primary

Addresses

Primary practice location

401 Medical Park Dr
Atmore, AL 36502-3006

Mailing address

401 Medical Park Dr
Atmore, AL 36502-3006
Phone (251) 368-6362

Other identifiers 7

IdentifierTypeStateIssuer
10233400MedicaidAL
BH3OtherALHEALTH OPTIONS
HOS0053HOtherALALACAID
500002OtherALUNITED HEALTH CARE
132OtherALPRIME HEALTH OF AL
10572OtherALVISTA
5006840OtherFLUNITED HEALTH CARE

Other names 1

  • Atmore Community Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040811000712 AL Part B Supplier - Clinic/Group Practice 4385616119 Receives reassigned benefits from 19 practitioners
5 other NPIs on this enrollment
Practice locations: Atmore, AL
O20080221000560 AL Part A Provider - Hospital 4385616119 Practice locations: Atmore, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124073879. Details of each certification follow.

Hospital certification: CCN 010169

Legal name
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Doing business as
ATMORE COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 2008
Last certification
Nov 30, 2023
Beds
49
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1995 in AL
Enrollment address
401 Medical Park Dr
Atmore, AL 36502-3006
Other Hospital Practice Location
Hospital subgroups
General

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Atmore Community HospitalCCN 010169 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Locations

609 E Laurel St
Atmore, AL 36502
Phone (251) 368-6960

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Charles W Nall Individual Operational/Managerial Control Aug 1, 2019
Jeffrey Booth Individual Operational/Managerial ControlCeo Jul 1, 2021
Stephen Fischer Individual Operational/Managerial Control Aug 1, 2019
Nancy Lowrey Individual Corporate Director Jul 1, 2012
Bradley Lowery Individual Operational/Managerial Control Aug 1, 2019

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ach Family PhysiciansAtmore, AL, CCN 013444 Rural health clinic Operational/Managerial Control Sep 1, 2019
Ach Primary CareAtmore, AL, CCN 013445 Rural health clinic Operational/Managerial Control Sep 1, 2019
Atmore Urgent CareAtmore, AL, CCN 013446 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Ach Complete CareAtmore, AL, CCN 018500 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 21

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 21

Affiliated clinicians 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1124073879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023006",
            "telephone_number": "251-368-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023006",
            "telephone_number": "251-368-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-368-6362"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10233400",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH OPTIONS",
            "identifier": "BH3",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "HOS0053H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "500002",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME HEALTH OF AL",
            "identifier": "132",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "10572",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "5006840",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atmore Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atmore Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

Verify at the official NPI Registry.