NPIMap

Organization Active NPI

Hale County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Greensboro, AL
National Provider Identifier
1699005157
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H3301 Issued in AL
Legal business name
HALE COUNTY HOSPITAL
Practice address
508 Greene St
Greensboro, AL 36744-2316
Phone
(334) 624-3024
Fax
(334) 624-4453
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Shay Fondren Whaley
Title
Administrator
Phone
(334) 624-3024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H3301 AL Primary

Addresses

Primary practice location

508 Greene St
Greensboro, AL 36744-2316

Mailing address

508 Greene St
Greensboro, AL 36744-2316
Phone (334) 624-3024

Other names 1

  • Hale County Hospital Swing Bed Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100422000159 AL Part A Provider - Hospital 3375528169 Practice locations: Greensboro, AL

Hospital certification: CCN 01U095

Legal name
HALE COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
508 Greene St
Greensboro, AL 36744-2316
Hospital Swing-Bed Unit
Hospital subgroups
Acute care, Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Hale Co Hospital Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jack Weeden Individual Corporate Director Oct 12, 2021
Cynthia Renee Barnette Individual Corporate DirectorDirector May 31, 2012
Bernard T Martin Individual Corporate DirectorDirector Nov 27, 2012
Ulysess Johnson Individual Corporate Director May 5, 1996
Hale County Healthcare Authority Organization, Greensboro, AL Operational/Managerial Control Nov 7, 1996
John a Dorsey Individual Corporate DirectorDirector Oct 23, 2011
Lorrie P Cook Individual Corporate Director Feb 14, 2018
Meghan Bonds Individual Corporate Director Dec 2, 2021
Tiffany Lashay Fondren Individual Corporate Officer Aug 4, 2014
W-2 Managing Employee Aug 14, 2014
Other Aug 4, 2014
Elizabeth O Rayford Individual W-2 Managing Employee Aug 16, 2009
Tony O Lee Individual Corporate Director Mar 5, 2009

Owners & managing parties with NPI records 2

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

Facilities with the same owner 4

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.

View all 19

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1699005157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GREENE ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367442316",
            "telephone_number": "334-624-3024",
            "fax_number": "334-624-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GREENE ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367442316",
            "telephone_number": "334-624-3024",
            "fax_number": "334-624-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "SHAY",
        "authorized_official_middle_name": "FONDREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-624-3024"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AL",
            "license": "H3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hale County Hospital Swing Bed Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, AL

Sources for this page

Verify at the official NPI Registry.