NPIMap

Organization Active NPI

Crenshaw County Health Care Authority

Doing business as Crenshaw Community Hospital

  • Critical Access Hospital
  • Luverne, AL
National Provider Identifier
1750480406
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
CRENSHAW COUNTY HEALTH CARE AUTHORITY
Doing business as
Crenshaw Community Hospital
Practice address
101 Hospital Cir
Luverne, AL 36049-7329
Phone
(334) 335-3374
Fax
(334) 335-1119
NPI assigned
Sep 21, 2006
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Michael Andrew Kimbro
Title
Chairman
Phone
(334) 335-3374

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
General Acute Care Hospital 282N00000X 11790 AL
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

101 Hospital Cir
Luverne, AL 36049-7329

Mailing address

PO Box 5013
Montgomery, AL 36103-5013
Phone (334) 386-0343

Other identifiers 3

IdentifierTypeStateIssuer
559900100MedicaidAL
HOS0008HMedicaidAL
010083OtherALHOSPITAL BC PROVIDER NUMB

Other names 1

  • Crenshaw Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050103000959 AL Part B Supplier - Clinic/Group Practice 8325006604 Receives reassigned benefits from 15 practitioners
Practice locations: Luverne, AL
O20201027001062 AL Part B Supplier - Clinic/Group Practice 4385073436 Receives reassigned benefits from 17 practitioners
Practice locations: Luverne, AL
O20240830001500 AL Part A Provider - Critical Access Hospital 4385073436 Receives reassigned benefits from 11 practitioners
Practice locations: Luverne, AL
O20250401000948 AL Part A Provider - Critical Access Hospital 4385073436 Practice locations: Luverne, AL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1750480406. Details of each certification follow.

Hospital certification: CCN 011308

Legal name
CRENSHAW COUNTY HEALTH CARE AUTHORITY
Doing business as
CRENSHAW COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 12, 2025
Last certification
Jan 9, 2025
Beds
35
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
101 Hospital Cir
Luverne, AL 36049-7329
Main/Primary Hospital Location

Hospital certification: CCN 01Z308

Legal name
CRENSHAW COUNTY HEALTH CARE AUTHORITY
Doing business as
CRENSHAW COMMUNITY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
101 Hospital Cir
Luverne, AL 36049-7329
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Crenshaw Community HospitalCCN 011308 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Crenshaw Community Hospital2 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.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Rita Brown Individual Corporate DirectorDirector Aug 1, 2023
Corporate DirectorBoard Member Feb 12, 2025 12.5%
Operational/Managerial ControlBoard Member Feb 12, 2025 12.5%
Yvonne Noble Individual Corporate DirectorDirector Aug 1, 2023
Corporate DirectorBoard Member Feb 12, 2025 12.5%
Operational/Managerial ControlBoard Member Feb 12, 2025 12.5%
Tonya Jones Individual Corporate DirectorAlabama Jan 1, 2024
Eric Elliott Individual Corporate DirectorDirector Jan 1, 2020
Corporate DirectorBoard Member Feb 12, 2025 12.5%
Operational/Managerial ControlBoard Member Feb 12, 2025 12.5%
Charles S Tompkins Individual Corporate DirectorChief of Staff Jan 1, 2024
Corporate DirectorBoard Member Feb 12, 2025 12.5%
Operational/Managerial ControlBoard Member Feb 12, 2025
Crenshaw County Health Care Authority Organization, Luverne, AL Non-profit 5% Or Greater Direct Ownership Interest Mar 31, 2020
Operational/Managerial Control Mar 31, 2020
5% Or Greater Direct Ownership Interest Feb 12, 2025 100%
Operational/Managerial Control Feb 12, 2025 100%
Selena Fowler Individual Corporate DirectorVice Chairman Nov 1, 2023
Corporate OfficerVice Chairman Feb 12, 2025 12.5%
Corporate DirectorVice Chairman Feb 12, 2025 12.5%
Operational/Managerial ControlVice Chairman Feb 12, 2025 12.5%
Martha Williams Individual Corporate DirectorSecretary/Treasurer Jan 1, 2021
Corporate OfficerSecretary Treasurer Feb 12, 2025 12.5%
Corporate DirectorSecretary Treasurer Feb 12, 2025 12.5%
Operational/Managerial ControlSecretary Treasurer Feb 12, 2025 12.5%
Blue Management Services LLC Organization, Louisville, KY LLC Operational/Managerial Control Mar 31, 2020
Operational/Managerial Control Feb 12, 2025
David Hughes Individual Corporate OfficerCeo May 1, 2018
W-2 Managing EmployeeCeo May 1, 2018
W-2 Managing EmployeeBoard Member Feb 12, 2025
Operational/Managerial ControlBoard Member Feb 12, 2025 5%
Michael Kimbro Individual Corporate DirectorChairman Jan 1, 2021
Corporate DirectorChairman Feb 12, 2025 12.5%
Operational/Managerial ControlChairman Feb 12, 2025 12.5%
Emmett Speed Individual Corporate DirectorDirector Jan 1, 2021
Corporate DirectorBoard Member Feb 12, 2025 12.5%
Operational/Managerial ControlBoard Member Feb 12, 2025 12.5%
Amy Bess Individual W-2 Managing EmployeeRevenue Cycle Manager Feb 12, 2025 5%
Operational/Managerial ControlRevenue Cycle Manager Feb 12, 2025 5%
Sherry Johnson Individual W-2 Managing EmployeeDirector of Nursing Feb 12, 2025 5%
Operational/Managerial ControlDirector of Nursing Feb 12, 2025 5%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crenshaw Community HospitalLuverne, AL, CCN 01M308 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 31, 2020
Mar 31, 2020
Crenshaw Family Care CenterLuverne, AL, CCN 013482 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 31, 2020
Mar 31, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 29

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 29

Affiliated clinicians 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1750480406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5013",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361035013",
            "telephone_number": "334-386-0343",
            "fax_number": "334-386-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL CIR",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360497329",
            "telephone_number": "334-335-3374",
            "fax_number": "334-335-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRENSHAW COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "KIMBRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "334-335-3374"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "11790",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559900100",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0008H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL BC PROVIDER NUMB",
            "identifier": "010083",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crenshaw Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crenshaw Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luverne, AL

Sources for this page

Verify at the official NPI Registry.