NPIMap

Organization Active NPI

D.W. McMillan Memorial Hospital

Doing business as Flomaton Medical Center

  • Rural Health Clinic/Center
  • Flomaton, AL
National Provider Identifier
1497852735
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
11799 Issued in AL
Legal business name
D.W. MCMILLAN MEMORIAL HOSPITAL
Doing business as
Flomaton Medical Center
Practice address
174 Highway 113
Flomaton, AL 36441-0174
Phone
(251) 296-2456
Fax
(251) 296-0320
NPI assigned
Sep 20, 2006
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Mrs. Stacy Hines
Title
Administrator
Phone
(251) 809-8429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 11799 AL Primary

Addresses

Primary practice location

174 Highway 113
Flomaton, AL 36441-0174

Mailing address

PO Box 997
Flomaton, AL 36441-0997
Phone (251) 296-2456

Other names 1

  • Flomaton Medical Center Doing business as

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address fmcccd@echca.cernerdirect.com Direct
Direct Messaging Address MKilcrease@echca.cernerdirect.com Direct
Direct Messaging Address BGolden@echca.cernerdirect.com Direct
Direct Messaging Address SMoore@echca.cernerdirect.com Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051213000885 AL Part A Provider - Rural Health Clinic 3072558378 Practice locations: Flomaton, AL
O20051228000338 AL Part B Supplier - Clinic/Group Practice 3072558378 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Brewton, AL; Castleberry, AL; Flomaton, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497852735. Details of each certification follow.

Rural health clinic certification: CCN 013440

Legal name
D.W. MCMILLAN MEMORIAL HOSPITAL
Doing business as
FLOMATON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 11, 2006
Last certification
Dec 10, 2025
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Mar 7, 1983 in AL
Enrollment address
174 Highway 113
Flomaton, AL 36441-0174
Related CCNs
010099

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1311 McMillan Ave
Brewton, AL 36426
Phone (251) 809-3120

Interoperability endpoints

  • Direct secure messaging: bgolden@echca.cernerdirect.com
  • Direct secure messaging: fmcccd@echca.cernerdirect.com
  • Direct secure messaging: smoore@echca.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Scott Garner Moore Individual Corporate DirectorMedical Director Feb 26, 2020
W-2 Managing EmployeeMedical Director Feb 26, 2020
Susan S Hines Individual Operational/Managerial ControlAdministrator Jan 1, 2022
D.W. McMillan Memorial Hospital Organization, Brewton, AL 5% Or Greater Direct Ownership Interest Jul 1, 2005
Operational/Managerial Control Jul 1, 2005
Jeffrey Booth Individual Operational/Managerial ControlCeo Jul 1, 2021
Stephen Fischer Individual Corporate OfficerCfo Jan 1, 2020

Owners & managing parties with NPI records 4

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
D W McMillan Medical CenterBrewton, AL, CCN 013498 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005

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

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1497852735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364410997",
            "telephone_number": "251-296-2456",
            "fax_number": "251-296-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HIGHWAY 113",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364410174",
            "telephone_number": "251-296-2456",
            "fax_number": "251-296-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.W. MCMILLAN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-809-8429",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": "11799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fmcccd@echca.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Flomaton Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "174 AL-113",
            "city": "Flomaton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MKilcrease@echca.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Flomaton Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "174 AL-113",
            "city": "Flomaton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BGolden@echca.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Flomaton  Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "174 AL-113",
            "city": "Flomaton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SMoore@echca.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Flomaton Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "174 AL-113",
            "city": "Flomaton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Flomaton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flomaton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flomaton, AL

Sources for this page

Verify at the official NPI Registry.