NPIMap

Organization Active NPI

Escambia County Alabama Community Hospitals, Inc

  • Anesthesiologist Assistant
  • Atmore, AL
National Provider Identifier
1356515449
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Legal business name
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Practice address
401 Medical Park Dr
Atmore, AL 36502-3006
Phone
(251) 368-6362
Fax
(850) 434-4683
NPI assigned
Apr 18, 2008
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Douglas Mark Nix
Title
President/Ceo
Phone
(251) 435-2071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X NU Primary

Addresses

Primary practice location

401 Medical Park Dr
Atmore, AL 36502-3006

Mailing address

PO Box 17106
Pensacola, FL 32522-7106
Phone (850) 469-2044

Other identifiers 1

IdentifierTypeStateIssuer
H2702OtherALLICENSE

Other names 1

  • Atmore Community Hospital Professional Group Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000712 AL Part B Supplier - Clinic/Group Practice 4385616119 Receives reassigned benefits from 19 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atmore, AL

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1356515449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17106",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227106",
            "telephone_number": "850-469-2044",
            "fax_number": "850-434-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023006",
            "telephone_number": "251-368-6362",
            "fax_number": "850-434-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "251-435-2071"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "H2702",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atmore Community Hospital Professional Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.