NPIMap

Organization Active NPI

Escambia County Alabama Community Hospitals, Inc

Doing business as Atmore Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Atmore, AL
National Provider Identifier
1386818268
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H2702 Issued in AL
Legal business name
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Doing business as
Atmore Community Hospital
Practice address
401 Medical Park Dr
Atmore, AL 36502-3006
Phone
(251) 368-8500
Fax
(850) 434-4683
NPI assigned
Apr 22, 2008
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Bradley Lowery
Title
Administrator
Phone
(251) 368-6362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H2702 AL Primary

Addresses

Primary practice location

401 Medical Park Dr
Atmore, AL 36502-3006

Mailing address

401 Medical Park Dr
Atmore, AL 36502-3006
Phone (251) 368-2500

Other identifiers 1

IdentifierTypeStateIssuer
H2702OtherALLICENSE

Other names 1

  • Atmore Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080605000087 AL Part A Provider - Hospital 4385616119 Practice locations: Atmore, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386818268. Details of each certification follow.

Hospital certification: CCN 01U169

Legal name
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Doing business as
ATMORE COMMUNITY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1995 in AL
Enrollment address
401 Medical Park Dr
Atmore, AL 36502-3006
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Escambia Cod W McMilla9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Charles W Nall Individual Operational/Managerial Control Aug 1, 2019
Jeffrey Booth Individual Operational/Managerial ControlCeo Jul 1, 2021
Stephen Fischer Individual Operational/Managerial Control Aug 1, 2019
Bradley Lowery Individual Operational/Managerial Control Aug 1, 2019

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Ach Family PhysiciansAtmore, AL, CCN 013444 Rural health clinic Operational/Managerial Control Sep 1, 2019
Ach Primary CareAtmore, AL, CCN 013445 Rural health clinic Operational/Managerial Control Sep 1, 2019
Atmore Urgent CareAtmore, AL, CCN 013446 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Ach Complete CareAtmore, AL, CCN 018500 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1386818268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023006",
            "telephone_number": "251-368-2500",
            "fax_number": "251-368-6237"
        },
        {
            "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": "251-368-8500",
            "fax_number": "850-434-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-368-6362"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AL",
            "license": "H2702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "H2702",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atmore Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atmore Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

Verify at the official NPI Registry.