NPIMap

Organization Active NPI

State of Alabama Dept of Finance State Comptroller

Doing business as North Alabama Regional Hospital

  • Psychiatric Hospital
  • Decatur, AL
National Provider Identifier
1750353843
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STATE OF ALABAMA DEPT OF FINANCE STATE COMPTROLLER
Doing business as
North Alabama Regional Hospital
Practice address
4218 US Hwy 31 S
Decatur, AL 35603-5039
Phone
(256) 560-2200
Fax
(256) 560-2249
NPI assigned
Feb 3, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Barbara A Jackson, DR
Title
Acting Director
Phone
(256) 560-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

4218 US Hwy 31 S
Decatur, AL 35603-5039

Mailing address

4218 US Hwy 31 S
Decatur, AL 35603-5039
Phone (256) 560-2200

Other names 1

  • North Alabama Regional Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000194 AL Part B Supplier - Clinic/Group Practice 5698684090 Receives reassigned benefits from 32 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tuscaloosa, AL; Mount Vernon, AL; Montgomery, AL; Decatur, AL

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Locations

4218 US Highway 31 S
Decatur, AL 35603
Phone (256) 353-9433

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1750353843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 US HWY 31 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035039",
            "telephone_number": "256-560-2200",
            "fax_number": "256-560-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 US HWY 31 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035039",
            "telephone_number": "256-560-2200",
            "fax_number": "256-560-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPT OF FINANCE STATE COMPTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "256-560-2201",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Alabama Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.

Verify at the official NPI Registry.