NPIMap

Organization Active NPI

United Florala, Inc

Doing business as Florala Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Florala, AL
National Provider Identifier
1477835825
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
UNITED FLORALA, INC
Doing business as
Florala Memorial Hospital
Practice address
24273 Fifth Avenue
Florala, AL 36442
Phone
(334) 858-3287
NPI assigned
Sep 12, 2011
Last updated
Sep 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Mr. Mishka M Rabuka
Title
Administrator
Phone
(334) 858-3287

Specialties & licenses 1

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

Addresses

Primary practice location

24273 Fifth Avenue
Florala, AL 36442

Mailing address

PO Box 189
Florala, AL 36442-0189
Phone (334) 858-3287

Other names 1

  • FLORALA MEMORIAL HOSPITAL 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 1477835825. Details of each certification follow.

Hospital certification: CCN 010066

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
FLORALA MEMORIAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Dec 31, 2013
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 20, 2011
Beds
23
Ownership / control type
Private (for profit)
Facility address
24273 Fifth Avenue
Florala, AL 36442

National Provider Directory

National Provider Directory
Tax ID family
Danilo I Batario2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1477835825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364420189",
            "telephone_number": "334-858-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24273 FIFTH AVENUE",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "36442",
            "telephone_number": "334-858-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FLORALA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "RABUKA",
        "authorized_official_first_name": "MISHKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-858-3287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORALA MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florala, AL

Sources for this page

Verify at the official NPI Registry.