NPIMap

Organization Active NPI

Randolph Health Care Authority

  • General Acute Care Hospital
  • Roanoke, AL
National Provider Identifier
1174690283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
RANDOLPH HEALTH CARE AUTHORITY
Practice address
59928 Highway 22
Roanoke, AL 36274-2410
Phone
(334) 863-4111
Fax
(334) 863-5427
NPI assigned
Nov 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gerald McCord
Title
Interium Administrator
Phone
(334) 863-4111

Specialties & licenses 1

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

Addresses

Primary practice location

59928 Highway 22
Roanoke, AL 36274-2410

Mailing address

PO Box 670
Roanoke, AL 36274-0670
Phone (334) 863-4111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174690283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362740670",
            "telephone_number": "334-863-4111",
            "fax_number": "334-863-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59928 HIGHWAY 22",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362742410",
            "telephone_number": "334-863-4111",
            "fax_number": "334-863-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "INTERIUM ADMINISTRATOR",
        "authorized_official_telephone_number": "334-863-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.