Organization Active NPI

Roh LLC

Doing business as Merit Health Women's Hospital

  • Women's Hospital
  • Jackson, MS
National Provider Identifier
1285681841
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's HospitalTaxonomy code 282NW0100X
License
12300 Issued in MS
Legal business name
ROH LLC
Doing business as
Merit Health Women's Hospital
Practice address
1026 N Flowood Dr
Jackson, MS 39232-9532
Phone
(601) 933-6401
Fax
(601) 396-3086
NPI assigned
May 28, 2006
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Hospital 282NW0100X 12300 MS Primary

Addresses

Primary practice location

1026 N Flowood Dr
Jackson, MS 39232-9532

Mailing address

1026 N Flowood Dr
Jackson, MS 39232-9532
Phone (601) 933-6401

Other identifiers 2

IdentifierTypeStateIssuer
0220466MedicaidMS
000020225OtherMSBLUE CROSS

Other names 1

  • Merit Health Women's Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100918000249 MS Part A Provider - Hospital 2961527577 Practice locations: Jackson, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285681841. Details of each certification follow.

Hospital certification: CCN 250136

Legal name
ROH LLC
Doing business as
MERIT HEALTH WOMAN'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1983
Last certification
Jul 26, 2018
Beds
109
Ownership / control type
Private (for profit)
Most recent change of ownership
Aug 1, 1994 (1 total)
Organization structure
LLCProprietary
Incorporated
Sep 25, 2008 in MS
Enrollment address
1026 N Flowood Dr
Jackson, MS 39232-9532
Other Hospital Practice Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Merit Health Women's HospitalCCN 250136 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0651873Merit Health Woman's Hospital1026 North Flowood Drive, Flowood, MS 39232AccreditationJun 6, 2027
25D1087568Hubcare Pathology - Merit Health Woman's Hospital1026 N Flowood Dr, Flowood, MS 39232AccreditationJul 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Roh LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Jan 27, 2014
Corporate DirectorPresident/Board Member Jan 1, 2020
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
Health Management Associates LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 99%
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Mississippi Hma Holdings I LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jan 27, 2014 99%
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
River Oaks Hospital LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Jan 27, 2014 100%
Health Management Associates LP Organization, Franklin, TN 5% Or Greater Indirect Ownership Interest Jan 27, 2014 99%
Paula M Lalor Individual Corporate DirectorDirector Apr 1, 2017
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Heather Sistrunk Individual W-2 Managing EmployeeCeo Feb 17, 2020
Christopher G Cobb Individual Corporate OfficerVP/Secretary Jan 27, 2014
CHS Community Health Systems Inc Organization, Franklin, TN 5% Or Greater Indirect Ownership Interest Jan 27, 2014 99%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 120

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

View all 120

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 139

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

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1285681841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 N FLOWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329532",
            "telephone_number": "601-933-6401",
            "fax_number": "601-936-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 N FLOWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329532",
            "telephone_number": "601-933-6401",
            "fax_number": "601-396-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": "MS",
            "license": "12300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220466",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000020225",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merit Health Women's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.