Organization Active NPI

Christ Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Center Point, AL
National Provider Identifier
1194252700
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHRIST HEALTH CENTER INC
Practice address
2152 Old Springville Rd
Center Point, AL 35215-4005
Phone
(205) 380-9455
NPI assigned
May 12, 2017
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Robert Record, MDNPI 1134177884
Title
Ceo
Phone
(205) 380-9455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2152 Old Springville Rd
Center Point, AL 35215-4005

Mailing address

2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 380-9455

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061103000498 AL Part B Supplier - Clinic/Group Practice 9931106986 Receives reassigned benefits from 41 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Center Point, AL; Birmingham, AL
O20170814000092 AL Part A Provider - Federally Qualified Health Center (FQHC) 9931106986 Practice locations: Center Point, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194252700. Details of each certification follow.

Federally qualified health center certification: CCN 011038

Legal name
CHRIST HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 14, 2017
Last certification
Aug 14, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 18, 2004 in AL
Enrollment address
2152 Old Springville Rd
Center Point, AL 35215-4005

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Christ Health Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Darryn E Fourie Individual W-2 Managing EmployeeRevenue Cycle Manager Apr 1, 2017
Thomas Beavers Individual Corporate Director Apr 21, 2016
Robert Hoyt Yoe Individual Corporate Director Mar 16, 2017
Dilma Carter Individual Corporate Director Apr 20, 2017
Barry Howton Individual Corporate Director Oct 20, 2016
Robert R Record Individual Corporate OfficerChief Executive Officer Dec 21, 2005
Jeremy W Allen Individual Corporate Director Nov 1, 2009
Roger Ellenburoy Individual Corporate Director Nov 1, 2009
Brant McDuffie Individual Corporate Director Apr 14, 2010
Annetta Nunn Individual Corporate Director Jul 8, 2010
Shannon Riley Individual Corporate Director Apr 14, 2010
John Blair Individual Corporate Director Nov 1, 2009
Stephen Rowe Individual Corporate Director Aug 22, 2014
Stephen Hipps Individual Corporate Director Nov 1, 2009
Stephen Thomas Individual Corporate Director Oct 18, 2012
Christ Health Center Inc Organization, Birmingham, AL Corporation Other Jul 1, 2017 100%

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Christ Health Center IncBirmingham, AL, CCN 011012 Federally qualified health center Operational/Managerial Control Oct 25, 2013

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1194252700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352154005",
            "telephone_number": "205-380-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352154005",
            "telephone_number": "205-380-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-380-9455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, AL

Sources for this page

Verify at the official NPI Registry.