NPIMap

Organization Active NPI

Clay County Healthcare Authority

Doing business as Clay County Hosptial DME

  • Durable Medical Equipment & Medical Supplies
  • Ashland, AL
National Provider Identifier
1235285867
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
076002 Issued in AL
Legal business name
CLAY COUNTY HEALTHCARE AUTHORITY
Doing business as
Clay County Hosptial DME
Practice address
57 Floyd Springs Road
Ashland, AL 36251-1270
Phone
(256) 354-2509
Fax
(256) 354-2825
NPI assigned
Jan 26, 2007
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mrs. Kerry W. Tomlin
Title
Associate Administrator
Phone
(256) 354-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 076002 AL Primary

Addresses

Primary practice location

57 Floyd Springs Road
Ashland, AL 36251-1270

Mailing address

PO Box 1270
Ashland, AL 36251-1270
Phone (256) 354-2509

Other identifiers 2

IdentifierTypeStateIssuer
009814360MedicaidAL
51056911OtherALBCBS PROVIDER NUMBER

Other names 1

  • Clay County Hosptial DME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930080615 AL DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Oxygen & Equipment 5193700797 Practice locations: Ashland, AL

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Clay County Healthcare Authority57 Floyd Springs Rd, Ashland, AL 36251-4023(256) 354-2509 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|… Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Clay County Hosp6 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

57 Floyd Springs Rd
Ashland, AL 36251
Phone (256) 354-2509

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Clay County Nursing HomeAshland, AL, CCN 015124 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 1966
Clay County Hospital Home Care, LLCAshland, AL, CCN 017097 Home health agency 5% Or Greater Direct Ownership Interest (10%) Nov 1, 2004

Owned or controlled facilities with NPI records 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1235285867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "362511270",
            "telephone_number": "256-354-2509",
            "fax_number": "256-354-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 FLOYD SPRINGS ROAD",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "362511270",
            "telephone_number": "256-354-2509",
            "fax_number": "256-354-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "TOMLIN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ASSOCIATE ADMINISTRATOR",
        "authorized_official_telephone_number": "256-354-2131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "076002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009814360",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51056911",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay County Hosptial DME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clay County Hosptial DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, AL

Sources for this page

Verify at the official NPI Registry.