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Organization Active NPI

Laurel Oaks Behavioral Health Center Inc

  • Psychiatric Hospital
  • Dothan, AL
National Provider Identifier
1326078023
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
11812 Issued in AL
Legal business name
LAUREL OAKS BEHAVIORAL HEALTH CENTER INC
Practice address
700 E Cottonwood Rd
Dothan, AL 36301-3644
Phone
(334) 794-7373
Fax
(334) 702-4530
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 11812 AL Primary
Psychiatric Residential Treatment Facility 323P00000X AL

Addresses

Primary practice location

700 E Cottonwood Rd
Dothan, AL 36301-3644

Mailing address

700 E Cottonwood Rd
Dothan, AL 36301-3644
Phone (334) 794-7373

Other identifiers 5

IdentifierTypeStateIssuer
011-848OtherALBLUE CROSS BLUE SHIELD
129578OtherVALUEOPTIONS
PSY4007HMedicaidAL
RTF0002HMedicaidAL
010-015OtherALBLUE CROSS BLUE SHIELD

Other names 1

  • Ramsay Youth Services Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060915000267 AL Part A Provider - Hospital 7113922626 1 other NPI on this enrollment
Practice locations: Dothan, AL

Hospital certification: CCN 014013

Legal name
LAUREL OAKS BEHAVIORAL HEALTH CENTER INC
Doing business as
LAUREL OAKS BEHAVIORAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 22, 1998
Last certification
Oct 22, 1998
Beds
24
Ownership / control type
Private (not for profit)
Organization structure
CorporationProprietary
Incorporated
Jan 16, 1998 in DE
Enrollment address
700 East Cottonwood Road
Dothan, AL 36301-3644
Hospital subgroups
Psychiatric

Hospital certification: CCN 010160

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RAMSAY YOUTH SERVICES-DOTHAN
Certification status
Terminated Other: provider status change, Oct 21, 1998
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1998
Last certification
Jul 1, 1998
Beds
55
Ownership / control type
Private (not for profit)
Facility address
700 East Cottonwood Road
Dothan, AL 36301

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Laurel Oaks Behaivoral Health Center2 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.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Premier Behavioral Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Direct Ownership Interest Dec 4, 2006 100%
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Jeanette M Jackson Individual Contracted Managing EmployeeCeo Jun 8, 2020
Corporate OfficerCeo Jun 8, 2020
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Jasmin C Traylor Individual Contracted Managing EmployeeCfo Sep 2, 2013
Corporate OfficerCfo Sep 2, 2013
Steve Filton Individual Corporate OfficerVice President and Board Member Nov 15, 2010 100%
Corporate DirectorVice President and Board Member Nov 15, 2010 33.3%
Operational/Managerial ControlVice President and Board Member Nov 15, 2010 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Jun 2, 2000 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestCeo and Chairman Jan 1, 2021 85%

Facilities with the same owner 172

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

View all 172

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1326078023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E COTTONWOOD RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013644",
            "telephone_number": "334-794-7373",
            "fax_number": "334-702-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E COTTONWOOD RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013644",
            "telephone_number": "334-794-7373",
            "fax_number": "334-702-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL OAKS BEHAVIORAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AL",
            "license": "11812",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "011-848",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "129578",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY4007H",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RTF0002H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010-015",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ramsay Youth Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.