NPIMap

Organization Active NPI

Washington County Healthcare Authority, Inc

Doing business as Washington County Hospital

  • Critical Access Hospital
  • Chatom, AL
National Provider Identifier
1487699203
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11878 Issued in AL
Legal business name
WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC
Doing business as
Washington County Hospital
Practice address
14600 St Stephens Ave
Chatom, AL 36518
Phone
(251) 847-2223
Fax
(251) 847-3808
NPI assigned
Jun 17, 2006
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Mrs. Alyson Overstreet
Title
Chief Financial Officer
Phone
(251) 847-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 11878 AL Primary

Addresses

Primary practice location

14600 St Stephens Ave
Chatom, AL 36518

Mailing address

PO Box 1299
Chatom, AL 36518-1299
Phone (251) 847-2223

Other identifiers 2

IdentifierTypeStateIssuer
010099OtherALBLUE CROSS PROVIDER NUMBE
HOS1300HMedicaidAL

Other names 1

  • Washington County Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000608 AL Part A Provider - Critical Access Hospital 1052219094 Practice locations: Chatom, AL
O20090203000427 AL Part A Provider - Critical Access Hospital 1052219094 Practice locations: Chatom, AL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1487699203. Details of each certification follow.

Hospital certification: CCN 01Z300

Legal name
WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC
Doing business as
WASHINGTON COUNTY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jul 6, 2014 in AL
Enrollment address
14600 Saint Stephens Ave
Chatom, AL 36518-1299
Hospital Swing-Bed Unit

Hospital certification: CCN 011300

Legal name
WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC
Doing business as
WASHINGTON COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2002
Last certification
Dec 16, 2021
Beds
25
Ownership / control type
Local
Organization structure
CorporationNon-profit
Incorporated
Jul 6, 2014 in AL
Enrollment address
14600 Saint Stephens Ave
Chatom, AL 36518-1299
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Washington County HospitalCCN 011300 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0305199Washington County Hospital14600 St Stephens Avenue, Chatom, AL 36518ComplianceFeb 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Washington Co Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Arnold E Schultz Individual Corporate Director Oct 1, 2007
Mary a Gibbs Individual Corporate Director Oct 1, 2007
Teresa G Grimes Individual W-2 Managing EmployeeChief Executive Officer Jun 20, 2016
Corporate OfficerChief Executive Officer Jun 20, 2016
W-2 Managing Employee Jun 20, 2016
Emory Mosley Individual Corporate Director Oct 1, 2007
Washington County Healthcare Authority, Inc Organization, Chatom, AL 5% Or Greater Direct Ownership Interest Oct 1, 2007
Betsy Turner Individual Corporate Director Oct 1, 2007
John Brandon Armstrong Individual Corporate Director Sep 23, 2014
Joanne Barnes Individual Corporate Director Jan 26, 2021
Julia Smith Individual Corporate Director Aug 25, 2015
Carl Shane Thornton Individual Corporate Director Mar 22, 2016
Virginia Micki Savage Individual Corporate Director Apr 24, 2018
Sherry Dean Individual Corporate Director Mar 24, 2020
Sylvia Williams Individual Corporate Director Oct 1, 2007
Harold Crouch Individual Corporate Director Oct 1, 2007

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Washington County Nursing HomeChatom, AL, CCN 015123 Skilled nursing facility 5% Or Greater Direct Ownership Interest Oct 1, 2007

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1487699203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1299",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365181299",
            "telephone_number": "251-847-2223",
            "fax_number": "251-847-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 ST STEPHENS AVE",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "36518",
            "telephone_number": "251-847-2223",
            "fax_number": "251-847-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "251-847-2223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AL",
            "license": "11878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "010099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS1300H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatom, AL

Sources for this page

Verify at the official NPI Registry.