NPIMap

Organization Active NPI

Roanoke Healthcare Authority

Doing business as Randolph Medical Center

  • Critical Access Hospital
  • Roanoke, AL
National Provider Identifier
1760640163
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ROANOKE HEALTHCARE AUTHORITY
Doing business as
Randolph Medical Center
Practice address
59928 Highway 22
Roanoke, AL 36274-2410
Phone
(334) 863-4111
Fax
(334) 863-5427
NPI assigned
Jun 2, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Mr. Timothy Harlin
Title
Administrator/Ceo
Phone
(334) 863-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

59928 Highway 22
Roanoke, AL 36274-2410

Mailing address

PO Box 670
Roanoke, AL 36274-0670
Phone (334) 863-4111

Other names 1

  • RANDOLPH MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

32 Medical Dr
Ste 7
Roanoke, AL 36274
Phone (334) 863-2311

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1760640163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362740670",
            "telephone_number": "334-863-4111",
            "fax_number": "334-863-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59928 HIGHWAY 22",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362742410",
            "telephone_number": "334-863-4111",
            "fax_number": "334-863-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "HARLIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "334-863-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANDOLPH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.