NPIMap

Organization Active NPI

Bethany House of East Alabama Medical Center

  • Inpatient Hospice
  • Auburn, AL
National Provider Identifier
1194896712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
11693 Issued in AL
Legal business name
BETHANY HOUSE OF EAST ALABAMA MEDICAL CENTER
Practice address
1171 Gatewood Dr
Auburn, AL 36830-1817
Phone
(334) 826-0032
Fax
(334) 826-1602
NPI assigned
Nov 13, 2006
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. Carol P Murphey, R.N.
Title
Director
Phone
(334) 826-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 11693 AL Primary

Addresses

Primary practice location

1171 Gatewood Dr
Auburn, AL 36830-1817

Mailing address

1171 Gatewood Dr
Auburn, AL 36830-1817
Phone (334) 826-0032

Other identifiers 2

IdentifierTypeStateIssuer
PIC1528EMedicaidAL
010499OtherALBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory
Tax ID family
Bethany House of East Alabama Medical Center24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194896712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 GATEWOOD DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368301817",
            "telephone_number": "334-826-0032",
            "fax_number": "334-826-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 GATEWOOD DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368301817",
            "telephone_number": "334-826-0032",
            "fax_number": "334-826-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOUSE OF EAST ALABAMA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-826-1899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "AL",
            "license": "11693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1528E",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "010499",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, 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.