Washington County Healthcare Authority, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC

Doing business as

Millry Family Care

Practice address

73 Long Street
Millry, AL 36558

Phone

(251) 846-3233

Fax

(251) 846-3224

NPI assigned

Oct 26, 2011

Last updated

Apr 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lesley Jean Dunn

Title

Chief Operating Officer

Phone

(251) 847-2223

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• Millry Family Care Doing business as
• Millry Pediatric Clinic LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316223027. Details of each certification follow.

• CCN 018508 Rural health clinic · Active · Details

Rural health clinic certification: CCN 018508

Legal name

WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC

Doing business as

MILLRY FAMILY CARE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 1, 2025

Last certification

Apr 1, 2025

Ownership / control type

2B

Organization structure

CorporationNon-profit

Enrollment address

73 Long St
Millry, AL 36558-4564

Related CCNs

011300

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Washington County Healthcare Authority, Inc

  dba Washington County Hospital

  • Critical Access Hospital
  • Chatom, AL
  • NPI 1487699203

  Parent provider

  Provider of Services

Other NPIs with the same Medicare PAC ID 2

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

• Washington County Healthcare Authority, Inc

  dba Washington County Nursing Home

  • Skilled Nursing Facility
  • Chatom, AL
  • NPI 1255376430

  1052219094

  Same PAC ID
• Washington County Healthcare Authority, Inc

  dba Washington County Hospital

  • Critical Access Hospital
  • Chatom, AL
  • NPI 1487699203

  1052219094

  Same PAC ID

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

CLIA laboratory certificates

Member organizations 1

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

• Washington County Healthcare Authority, Inc

  dba Washington County Physicians

  • General Practice Physician
  • Chatom, AL
  • NPI 1437330438

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 16

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

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 2

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

• Washington County Healthcare Authority, Inc

  dba Washington County Nursing Home

  • Skilled Nursing Facility
  • Chatom, AL
  • NPI 1255376430

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Washington County Healthcare Authority, Inc

  dba Washington County Hospital

  • Critical Access Hospital
  • Chatom, AL
  • NPI 1487699203

  5% Or Greater Direct Ownership Interest

  CMS ownership

Change-of-ownership history 2

Practitioners 4

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.

• Gregory R Myrick, M.D.

  • Family Medicine Physician
  • Millry, AL
  • NPI 1972786960
  Medicare reassignment NPD
• Jennifer L McNease, CRNP

  • Pediatric Nurse Practitioner
  • Millry, AL
  • NPI 1568618262
  Medicare reassignment
• Jennifer Nicole Walley, FNP-BC

  • Family Nurse Practitioner
  • Millry, AL
  • NPI 1720300734
  Medicare reassignment
• John Covington Boswell, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Columbus, MS
  • NPI 1316991219
  NPD (past)

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1316223027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1299",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365181299",
            "telephone_number": "251-847-2223",
            "fax_number": "251-847-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LONG STREET",
            "city": "MILLRY",
            "state": "AL",
            "postal_code": "36558",
            "telephone_number": "251-846-3233",
            "fax_number": "251-846-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "251-847-2223"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137591",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136193",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millry Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millry Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millry Pediatric Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• McConaghy Drug Store Inc (Millry Drugs)
• Jennifer L McNease, CRNP
• Millry Drugs, LLC
• Gregory R Myrick, M.D.
• Jennifer Nicole Walley, FNP-BC

• Rural Health Clinic/Center in Millry, AL
• Providers in Millry, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.