Active NPI
Grove Hill Memorial Hospital, Inc.
- Psychiatric Hospital Unit
- Grove Hill, AL
National Provider Identifier
1689625907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- GROVE HILL MEMORIAL HOSPITAL, INC.
- Practice address
- 295 S Jackson St
Grove Hill, AL 36451-3231 - Phone
- (251) 275-3191
- Fax
- (251) 275-4281
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. H Douglas Sewell
- Title
- Ceo
- Phone
- (251) 275-3191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
295 S Jackson St
Grove Hill, AL 36451-3231
Mailing address
PO Box 935
Grove Hill, AL 36451-0935
Phone (251) 275-3191
Other names 1
- Southern Oaks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623000356 | AL | Part B Supplier - Clinic/Group Practice | 8527977883 |
Receives reassigned benefits from 17 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grove Hill, AL |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rural Health Clinic/Center
- Grove Hill, AL
- NPI 1316997430
O20040623000356
-
- General Acute Care Hospital
- Grove Hill, AL
- NPI 1386694487
O20040623000356
-
- Rural Health Clinic/Center
- Grove Hill, AL
- NPI 1396796611
O20040623000356
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1689625907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935",
"city": "GROVE HILL",
"state": "AL",
"postal_code": "364510935",
"telephone_number": "251-275-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 S JACKSON ST",
"city": "GROVE HILL",
"state": "AL",
"postal_code": "364513231",
"telephone_number": "251-275-3191",
"fax_number": "251-275-4281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE HILL MEMORIAL HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "SEWELL",
"authorized_official_first_name": "H",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "251-275-3191",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Oaks",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grove Hill, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.