NPIMap

Organization Active NPI

QHG of Enterprise Inc

Doing business as Medical Center Enterprise

  • General Acute Care Hospital
  • Enterprise, AL
National Provider Identifier
1720039712
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10329 Issued in AL
Legal business name
QHG OF ENTERPRISE INC
Doing business as
Medical Center Enterprise
Practice address
400 N Edwards St
Enterprise, AL 36330-2510
Phone
(334) 347-0584
Fax
(334) 347-2080
NPI assigned
May 13, 2006
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10329 AL Primary

Addresses

Primary practice location

400 N Edwards St
Enterprise, AL 36330-2510

Mailing address

400 N Edwards St
Enterprise, AL 36330-2510
Phone (334) 347-0584

Other names 1

  • Medical Center Enterprise Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060320000283 AL Part A Provider - Hospital 9234026691 Practice locations: Enterprise, AL
O20210219000678 AL Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 142 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Enterprise, AL; Vestavia Hills, AL; Trussville, AL; Talladega, AL; Selma, AL; Prattville, AL; Opelika, AL; Mountain BRK, AL…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720039712. Details of each certification follow.

Hospital certification: CCN 010049

Legal name
QHG OF ENTERPRISE INC
Doing business as
MEDICAL CENTER ENTERPRISE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 28, 1970
Last certification
Oct 21, 2010
Beds
131 (99 certified)
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Dec 31, 1995 in AL
Enrollment address
400 N Edwards St
Enterprise, AL 36330-2510
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 13

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

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Medical Center EnterpriseCCN 010049 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Access Physicians PLLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident /Board Member Feb 27, 2012
Corporate DirectorPresident/Board Member Jan 1, 2020
QHG Georgia Holdings, Inc. Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 12, 2014 100%
Triad Nevada Holdings LLC Organization, Franklin, TN LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 13, 2014 100%
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Joey a Hester Individual W-2 Managing EmployeeCeo Jan 17, 2022
Triad Holdings V LLC Organization, Franklin, TN LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 26, 2007 100%
Paula M Lalor Individual Corporate DirectorDirector PFS Apr 1, 2017
Triad Healthcare LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Tennyson Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
NC-DSH LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2014 100%
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 26, 2013
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Affinity Hospital LLC

    dba Grandview Medical Center

    • General Acute Care Hospital
    • Birmingham, AL
    • NPI 1023061405

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Psychiatric Hospital Unit
    • Birmingham, AL
    • NPI 1043263221

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Rehabilitation Hospital Unit
    • Birmingham, AL
    • NPI 1720001019

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Crestwood Healthcare LP

    dba Crestwood Medical Center

    • General Acute Care Hospital
    • Huntsville, AL
    • NPI 1023061496

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Foley Hospital Company LLC

    dba Baldwin Health

    • General Acute Care Hospital
    • Foley, AL
    • NPI 1053382655

    CHS Community Health Systems Inc, Community Health Systems Inc

    CMS ownership
  • Foley Hospital Company LLC

    dba Balding Health

    • Medicare Defined Swing Bed Hospital Unit
    • Foley, AL
    • NPI 1588635973

    CHS Community Health Systems Inc, Community Health Systems Inc

    CMS ownership
  • Gadsden Regional Medical Center LLC

    dba Gadsden Regional Medical Center

    • General Acute Care Hospital
    • Gadsden, AL
    • NPI 1225081516

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Gadsden Regional Medical Center LLC

    dba Gadsden Regional Medical Center

    • Psychiatric Hospital Unit
    • Gadsden, AL
    • NPI 1255355020

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • QHG of Enterprise Inc

    dba Medical Center Enterprise

    • Medicare Defined Swing Bed Hospital Unit
    • Enterprise, AL
    • NPI 1083157275

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, NC-DSH LLC, QHG Georgia Holdings, Inc., Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC, Triad Nevada Holdings LLC

    CMS ownership
  • Triad of Alabama LLC

    dba Flowers Hospital

    • General Acute Care Hospital
    • Dothan, AL
    • NPI 1801830500

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Bluffton, IN
    • NPI 1356839591

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • General Acute Care Hospital
    • Bluffton, IN
    • NPI 1376594366

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

    CMS ownership
View all 120

Practitioners & affiliated clinicians

Practitioners 13

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 13

Affiliated clinicians 198

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

View all 198

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1720039712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "334-347-0584",
            "fax_number": "334-347-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "334-347-0584",
            "fax_number": "334-347-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHG OF ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "10329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Enterprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.