Perry Cty Hospital Assn

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12661 Issued in AL

Legal business name

PERRY CTY HOSPITAL ASSN

Doing business as

Perry County Nursing Home

Practice address

505 E Lafayette St
Marion, AL 36756-2323

Phone

(334) 683-9696

Fax

(334) 683-9995

NPI assigned

Aug 31, 2006

Last updated

Feb 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rebekah G Bonds, RN, BSN, LNHA

Title

Administrator

Phone

(334) 683-9696

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Perry County Nursing Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Shane Lee, MD

  • Family Medicine Physician
  • Marion, AL
  • NPI 1568550721
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1396856829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 149",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367560149",
            "telephone_number": "334-683-9696",
            "fax_number": "334-683-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E LAFAYETTE ST",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367562323",
            "telephone_number": "334-683-9696",
            "fax_number": "334-683-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY CTY HOSPITAL ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-683-9696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4753140S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "009923325",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PGBA",
            "identifier": "0416900001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010555",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perry County Health Dept-Marion Pat 1St CM
• Perry County Health Dept-Marion Prev Health Ed
• Perry County Health Dept-Marion Pri Care
• Perry County Health Dept-Marion VFC Immun
• Perry County Hospital Association (PC Outpatient Rehab)
• Shjuan D Pickett-Crockett
• Kerri Reeves, ATC
• Reliable Rides Caring Service, LLC
• Renal Treatment Centers-Southeast, LP. (Perry County Dialysis)
• Rural Health Medical Program, Inc. (Marion Health Center)

• Skilled Nursing Facility in Marion, AL
• Providers in Marion, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.