Organization 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
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0804 Issued in AL
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HOS0146HMedicaidAL

Other names 1

  • RMC Jacksonville Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.