Active NPI
QHG of Enterprise Inc
- General Acute Care Hospital
- Enterprise, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 10329
- Legal business name
- QHG OF ENTERPRISE INC
- Practice address
- 400 N Edwards St
Enterprise, AL 36330-2510 - Phone
- (334) 347-0584
- Fax
- (334) 347-2080
- NPI assigned
- May 13, 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
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HOS0049H | Medicaid | AL |
Other names 1
- Medical Center Enterprise
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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⦠|
Hospital certification: CCN 010049
- Legal name
- QHG OF ENTERPRISE INC
- Doing business as
- MEDICAL CENTER ENTERPRISE
- Certification status
- Active
- Provider type (POS)
- Hospital β Short-term
- Participating since
- May 28, 1970
- Last certification
- Oct 21, 2010
- Beds
- 131 (99 certified)
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation
- Incorporated
- Dec 31, 1995 in AL
- Enrollment address
- 400 N Edwards St
Enterprise, AL 36330-2510 - Hospital subgroups
- Acute care
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Medicare Defined Swing Bed Hospital Unit
- Enterprise, AL
- NPI 1083157275
Hospital unit
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Enterprise, AL
- NPI 1083157275
9234026691
Other NPIs on the same Medicare enrollment 13
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Certified Registered Nurse Anesthetist
- Andalusia, AL
- NPI 1598947467
O20210219000678
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1811438054
O20210219000678
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
O20210219000678
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
O20210219000678
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
O20210219000678
-
- Rural Acute Care Hospital
- Selma, AL
- NPI 1871655993
O20210219000678
Care Compare: Hospital
Medicare Care Compare- Listed as
- Medical Center Enterprise
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Access Physicians PLLC
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Andalusia, AL
- NPI 1598947467
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1023061496
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1811438054
-
- General Acute Care Hospital
- Foley, AL
- NPI 1053382655
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
-
- Internal Medicine Physician
- Sulphur Springs, TX
- NPI 1740676741
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons | Corporate Officer | Feb 27, 2012 | |
| Corporate Director | Jan 1, 2020 | ||
| QHG Georgia Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Sep 12, 2014 | 100% |
| Triad Nevada Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 13, 2014 | 100% |
| Nathaniel K Summar | Corporate Director | Jul 15, 2017 | |
| Justin D Pitt | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Mar 1, 2022 | ||
| William Bradley Cash | Corporate Officer | Jun 1, 2018 | |
| Hma-Tri Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Jason Kevin Johnson | Corporate Officer | Jan 6, 2020 | |
| Roman Gabriel Ottinger | Corporate Officer | Jan 6, 2020 | |
| Joey a Hester | W-2 Managing Employee | Jan 17, 2022 | |
| Triad Holdings V LLC | 5% Or Greater Indirect Ownership Interest | Jul 26, 2007 | 100% |
| Paula M Lalor | Corporate Director | Apr 1, 2017 | |
| Triad Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Tennyson Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Edna S Buffington-Price | Corporate Director | Mar 1, 2022 | |
| NC-DSH LLC | 5% Or Greater Indirect Ownership Interest | Sep 12, 2014 | 100% |
| Christopher G Cobb | Corporate Officer | Apr 26, 2013 | |
| CHS Community Health Systems Inc | 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.
-
- 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
-
- Psychiatric Hospital Unit
- Birmingham, AL
- NPI 1043263221
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC
-
- 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
-
- 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
-
- General Acute Care Hospital
- Foley, AL
- NPI 1053382655
CHS Community Health Systems Inc, Community Health Systems Inc
-
- Medicare Defined Swing Bed Hospital Unit
- Foley, AL
- NPI 1588635973
CHS Community Health Systems Inc, Community Health Systems Inc
-
- 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
-
- 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
-
- 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
-
- 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
-
- 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
-
- 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
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Providence, RI
- NPI 1528348281
-
- Psychiatry Physician
- Dallas, TX
- NPI 1780143149
-
- Vascular Neurology Physician
- Chicago, IL
- NPI 1932590965
-
- Gynecology Physician
- Enterprise, AL
- NPI 1497250963
-
- Obstetrics & Gynecology Physician
- Dothan, AL
- NPI 1316929466
-
- Obstetrics & Gynecology Physician
- Dothan, AL
- NPI 1851489223
-
- Pediatrics Physician
- Enterprise, AL
- NPI 1609019413
-
- Obstetrics & Gynecology Physician
- Enterprise, AL
- NPI 1104808237
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1952810558
-
- Pediatrics Physician
- Enterprise, AL
- NPI 1083664155
-
- Family Medicine Physician
- Marianna, FL
- NPI 1972152791
-
- Internal Medicine Physician
- Naples, FL
- NPI 1518492545
Affiliated clinicians 198
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": "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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HOS0049H",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Center Enterprise",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.