Active NPI
The Health Care Authority of the City of Anniston
Doing business as RMC Jacksonville
- General Acute Care Hospital
- Jacksonville, AL
National Provider Identifier
1265483267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- H0804
- Legal business name
- THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
- Doing business as
- RMC Jacksonville
- Practice address
- 1701 Pelham Rd S
Jacksonville, AL 36265-3353 - Phone
- (256) 435-4970
- Fax
- (256) 782-4589
- NPI assigned
- May 14, 2006
- Last updated
- Oct 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louis A. Bass
- Title
- Ceo
- Phone
- (256) 235-5646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | H0804 | AL | Primary |
Addresses
Primary practice location
1701 Pelham Rd S
Jacksonville, AL 36265-3353
Mailing address
1701 S. Pelham Rd.
Jacksonville, AL 36265-3353
Phone (256) 782-4538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HOS0146H | Medicaid | AL |
Other names 1
- RMC Jacksonville
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477612800000",
"number": "1265483267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S. PELHAM RD.",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362653353",
"telephone_number": "256-782-4538",
"fax_number": "256-782-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 PELHAM RD S",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362653353",
"telephone_number": "256-435-4970",
"fax_number": "256-782-4589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-14",
"last_updated": "2016-10-28",
"status": "A",
"authorized_official_last_name": "BASS",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "256-235-5646"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AL",
"license": "H0804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HOS0146H",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RMC Jacksonville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, AL
- Stoney Brook Emergency Physicians, PLLC
- Deandrea Joice Stowe
- Surgery Clinic, LLC (Surgery Clinic, LLC - Jacksonville)
- T-Rad Inc
- Terry L Bonds,OD,PC
- The Health Care Authority of the City of Anniston (RMC Jacksonville Physicians)
- The Health Care Authority of the City of Anniston (RMC Jacksonville)
- John Threadcraft, LPC
- Ryleigh C Tibbitt, FNP
- Timothy B Tabor MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.