Active NPI
Decatur General Hospital
- General Acute Care Hospital
- Decatur, AL
National Provider Identifier
1396764080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 11859
- Legal business name
- DECATUR GENERAL HOSPITAL
- Practice address
- 1201 7TH St SE
Decatur, AL 35601-3337 - Phone
- (256) 341-2000
- Fax
- (256) 306-1691
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vincent Bonetti
- Title
- Exe Dir, Revenue Cyc
- Phone
- (256) 265-9641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 11859 | AL | Primary |
Addresses
Primary practice location
1201 7TH St SE
Decatur, AL 35601-3337
Mailing address
PO Box 2239
1201 7TH St SE
Decatur, AL 35609-2239
Phone (256) 341-2000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086 | Other | AL | BLUE CROSS OF ALABAMA-DGW |
| 558200840 | Medicaid | AL | |
| 012 | Other | AL | BLUE CROSS OF ALABAMA |
| 235280000 | Medicaid | AL | |
| HOS0085H | Medicaid | AL |
Other names 1
- The Healthcare Authority of Morgan County
National Provider Directory
National Provider Directory- Tax ID family
- HH Health System
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Decatur, AL
- NPI 1356692297
-
- Rural Health Clinic/Center
- Moulton, AL
- NPI 1063204667
-
- Rural Health Clinic/Center
- Moulton, AL
- NPI 1164214300
-
- Rural Health Clinic/Center
- Courtland, AL
- NPI 1295527802
-
- Pharmacy
- Decatur, AL
- NPI 1770924334
-
- Rural Health Clinic/Center
- Moulton, AL
- NPI 1922991207
-
- Rural Health Clinic/Center
- Moulton, AL
- NPI 1932991544
Locations
1615 Kathy Ln SW
Decatur, AL 35603
Phone (256) 306-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1396764080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2239",
"address_2": "1201 7TH ST SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356092239",
"telephone_number": "256-341-2000",
"fax_number": "256-306-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 7TH ST SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013337",
"telephone_number": "256-341-2000",
"fax_number": "256-306-1691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECATUR GENERAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "BONETTI",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "EXE DIR, REVENUE CYC",
"authorized_official_telephone_number": "256-265-9641",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AL",
"license": "11859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA-DGW",
"identifier": "086",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "558200840",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA",
"identifier": "012",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235280000",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HOS0085H",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Healthcare Authority of Morgan County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.