NPIMap

Organization Active NPI

Hale County Hospital

  • General Acute Care Hospital
  • Greensboro, AL
National Provider Identifier
1225068935
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11809 Issued in AL
Legal business name
HALE COUNTY HOSPITAL
Practice address
508 Greene St
Greensboro, AL 36744-2316
Phone
(334) 624-3024
Fax
(334) 624-4453
NPI assigned
Jul 5, 2006
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Shay Cherry
Title
Administrator
Phone
(334) 624-3024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11809 AL Primary

Addresses

Primary practice location

508 Greene St
Greensboro, AL 36744-2316

Mailing address

508 Greene St
Greensboro, AL 36744-2316
Phone (334) 624-3024

Other practice location 1

40870 Hwy 69
Suite B
Moundville, AL 35474
Phone (205) 371-4444

Other identifiers 2

IdentifierTypeStateIssuer
010059OtherBC OF AL
HOS0095HMedicaidAL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080222000169 AL Part A Provider - Hospital 3375528169 Practice locations: Greensboro, AL; Moundville, AL
O20160414001964 AL Part B Supplier - Clinic/Group Practice 3375528169 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Moundville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225068935. Details of each certification follow.

Hospital certification: CCN 010095

Legal name
HALE COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 18, 2025
Beds
39
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
Jun 29, 1961 in AL
Enrollment address
508 Greene St
Greensboro, AL 36744-2316
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 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hale County HospitalCCN 010095 · All quality measures
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

Locations

40870 AL Highway 69
Ste B
Moundville, AL 35474
Phone (205) 371-4444

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Jack Weeden Individual Corporate DirectorBoard Member Oct 12, 2021
Dianne Bruner Individual W-2 Managing EmployeeChief Financial Officer Mar 5, 2024
Cynthia Renee Barnette Individual Corporate DirectorBoard Member May 31, 2012
Bernard T Martin Individual Corporate DirectorBoard Member Nov 27, 2012
Ulysess Johnson Individual Corporate DirectorBoard Member May 5, 1996
Hale County Healthcare Authority Organization, Greensboro, AL Operational/Managerial Control Nov 7, 1996
John a Dorsey Individual Corporate DirectorBoard Member Oct 23, 2011
Lorrie P Cook Individual Corporate DirectorBoard Member Feb 14, 2018
Meghan Bonds Individual Corporate DirectorBoard Member Dec 2, 2021
Tiffany Lashay Fondren Individual W-2 Managing EmployeeChief Executive Officer Aug 4, 2024
Operational/Managerial ControlChief Executive Officer Oct 1, 2021
Ethel Miller Individual Corporate DirectorBoard Member Nov 17, 2022
Tony O Lee Individual Corporate DirectorBoard Member Mar 5, 2009

Owners & managing parties with NPI records 2

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 15

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 15

Affiliated clinicians 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1225068935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GREENE ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367442316",
            "telephone_number": "334-624-3024",
            "fax_number": "334-624-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GREENE ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367442316",
            "telephone_number": "334-624-3024",
            "fax_number": "334-624-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40870 Hwy 69",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Moundville",
            "state": "AL",
            "postal_code": "35474",
            "country_code": "US",
            "telephone_number": "205-371-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HALE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-624-3024"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "11809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF AL",
            "identifier": "010059",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0095H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, AL

Sources for this page

Verify at the official NPI Registry.