NPIMap

Organization Active NPI

National Healthcare of Decatur, Inc.

Doing business as Parkway Medical Center

  • General Acute Care Hospital
  • Decatur, AL
National Provider Identifier
1386615441
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10401 Issued in AL
Legal business name
NATIONAL HEALTHCARE OF DECATUR, INC.
Doing business as
Parkway Medical Center
Practice address
1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone
(256) 350-2211
NPI assigned
Jan 27, 2006
Last updated
Dec 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Daniel S Slipkovich
Title
Senior VP, Group Operations
Phone
(615) 764-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10401 AL Primary

Addresses

Primary practice location

1874 Beltline Rd SW
Decatur, AL 35601-5514

Mailing address

501 Corporate Centre Dr
Suite 200
Franklin, TN 37067-2659
Phone (615) 764-3000

Other identifiers 4

IdentifierTypeStateIssuer
010090OtherBC
14031OtherMERIT
HOS00054HMedicaidAL
090OtherBCBS

Other names 1

  • Parkway Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386615441. Details of each certification follow.

Hospital certification: CCN 010054

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
DECATUR MORGAN HOSPITAL-PARKWAY CAMPUS
Certification status
Terminated Voluntary: merger or closure, Jan 1, 2014
Provider type (POS)
Hospital – Short-term
Participating since
Jan 11, 1975
Last certification
Jun 22, 2000
Beds
120
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jan 1, 2012 (4 total)
Facility address
1874 Beltline Rd SW
Decatur, AL 35601

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1386615441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CORPORATE CENTRE DR",
            "address_2": "SUITE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672659",
            "telephone_number": "615-764-3000",
            "fax_number": "615-764-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-350-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HEALTHCARE OF DECATUR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "SLIPKOVICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "615-764-3000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "10401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "010090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERIT",
            "identifier": "14031",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS00054H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.