Organization Active NPI

Gadsden Regional Medical Center LLC

Doing business as Gadsden Regional Medical Center

  • Lithotripsy Clinic/Center
  • Gadsden, AL
National Provider Identifier
1518102102
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lithotripsy Clinic/CenterTaxonomy code 261QL0400X
License
H2801 Issued in AL
Legal business name
GADSDEN REGIONAL MEDICAL CENTER LLC
Doing business as
Gadsden Regional Medical Center
Practice address
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone
(256) 494-4686
NPI assigned
Dec 10, 2008
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
GADSDEN REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lithotripsy Clinic/Center 261QL0400X H2801 AL Primary

Addresses

Primary practice location

1007 Goodyear Ave
Gadsden, AL 35903-1195

Mailing address

PO Box 404799
Atlanta, GA 30384-4799
Phone (256) 494-4686

Other identifiers 1

IdentifierTypeStateIssuer
ESW0008LMedicaidAL

Other names 1

  • Gadsden Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Qhggadsden Reg Med Ctr7 organizations share this tax ID, including this one
Part of
Qhggadsden Reg Med Ctr

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1518102102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404799",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844799",
            "telephone_number": "256-494-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GADSDEN REGIONAL MEDICAL CENTER",
        "enumeration_date": "2008-12-10",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "AL",
            "license": "H2801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ESW0008L",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gadsden Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gadsden Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.