Russell County Community Hospital, LLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

H5703 Issued in AL

Legal business name

RUSSELL COUNTY COMMUNITY HOSPITAL, LLC

Doing business as

Summit Hospital ER Physicians

Practice address

4401 River Chase Dr
Phenix City, AL 36867-7483

Phone

(334) 732-3000

Fax

(334) 732-3020

NPI assigned

Sep 6, 2007

Last updated

Sep 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John L. Jeter, CPA

Title

Chief Financial Officer

Phone

(334) 732-3458

Specialties & licenses 1

Addresses

Other names 1

• Summit Hospital ER Physicians Doing business as

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1679768311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 RIVER CHASE DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677483",
            "telephone_number": "334-732-3000",
            "fax_number": "334-732-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 RIVER CHASE DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677483",
            "telephone_number": "334-732-3000",
            "fax_number": "334-732-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL COUNTY COMMUNITY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "334-732-3458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AL",
            "license": "H5703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Hospital ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A. Romey
• Jessica Ross
• Russell County
• Russell County Child Advocacy Center
• Russell County Community Hospital LLC (Jack Hughston Memorial Hospital)
• Russell County Health Dept Adult Immun
• Russell County Health Dept AIDS
• Russell County Health Dept Child
• Russell County Health Dept Epsdt
• Russell County Health Dept Epsdt CM

• Emergency Medical Services (Emergency Medicine) Physician in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.