NPIMap

Organization Active NPI

Regional Health Management Corporation

Doing business as Roanoke Rural Health Clinic

  • Rural Health Clinic/Center
  • Roanoke, AL
National Provider Identifier
1497041834
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
REGIONAL HEALTH MANAGEMENT CORPORATION
Doing business as
Roanoke Rural Health Clinic
Practice address
469 Price St
Roanoke, AL 36274-2104
Phone
(334) 863-2311
Fax
(334) 863-5596
NPI assigned
Jun 23, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mr. James Lipscomb
Title
VP
Phone
(256) 741-1198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X AL Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 1089488 AL

Addresses

Primary practice location

469 Price St
Roanoke, AL 36274-2104

Mailing address

PO Box 2345
Anniston, AL 36202-2345
Phone (256) 741-1198

Other names 1

  • Roanoke Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000850 AL Part A Provider - Rural Health Clinic 9638340201 Practice locations: Roanoke, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497041834. Details of each certification follow.

Rural health clinic certification: CCN 013964

Legal name
REGIONAL HEALTH MANAGEMENT CORPORATION
Doing business as
ROANOKE RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 25, 2012
Last certification
Jan 7, 2026
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Dec 1, 1981 in AL
Enrollment address
1950 Main Street
Roanoke, AL 36274

Other NPIs with the same Medicare PAC ID 1

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

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
01D2067735Roanoke Rural Health Clinic1950 Main Street, Roanoke, AL 36274Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Regional Health Management Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1900 Leighton Ave
Ste 201
Anniston, AL 36207
Phone (256) 235-0294

320 Branscomb Dr SW
Ste A
Jacksonville, AL 36265
Phone (256) 435-8383

1400 Highway Dr
Oxford, AL 36203
Phone (256) 231-7500

1674 Hillyer Robinson Industrial Pkwy S
Ste 1100
Oxford, AL 36203
Phone (253) 235-5006

6 Allen Pkwy
Oxford, AL 36203
Phone (256) 831-7100

1950 Main St
Roanoke, AL 36274
Phone (256) 236-4121

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Louis a Bass Individual Corporate DirectorCeo Mar 1, 2015 16.66%
Karen Hill Individual W-2 Managing EmployeeClinic Manager Dec 24, 2012 5%
Sandra F Sudduth Individual Corporate DirectorBoard Chairman Jun 11, 2011 16.66%
The Health Care Authority of the City of Anniston Organization, Anniston, AL For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 1981 100%
Marcus Dunn Individual Corporate Director Dec 1, 2018 16.66%
George I Crawford Individual Corporate DirectorBoard Member Jun 6, 2014 16.66%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1497041834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2345",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362022345",
            "telephone_number": "256-741-1198",
            "fax_number": "256-235-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 PRICE ST",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362742104",
            "telephone_number": "334-863-2311",
            "fax_number": "334-863-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "256-741-1198",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1089488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roanoke Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, AL

Sources for this page

Verify at the official NPI Registry.