NPIMap

Organization Active NPI

Prime Healthcare Services Gadsden LLC

Doing business as Riverview Imaging Center

  • Radiology Clinic/Center
  • Gadsden, AL
National Provider Identifier
1801294764
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PRIME HEALTHCARE SERVICES GADSDEN LLC
Doing business as
Riverview Imaging Center
Practice address
1423 Rainbow Dr
Gadsden, AL 35901-5397
Phone
(256) 549-0014
NPI assigned
Dec 9, 2014
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIME HEALTHCARE SERIVCES GASDEN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Prem Reddy
Title
Chairman/President
Phone
(909) 235-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

1423 Rainbow Dr
Gadsden, AL 35901-5397

Mailing address

1423 Rainbow Dr
Gadsden, AL 35901-5397
Phone (256) 549-0014

Other names 1

  • Riverview Imaging Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150512002349 AL Part A Provider - Hospital 7810213477 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gadsden, AL; Gadsen, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801294764. Details of each certification follow.

Hospital certification: CCN 010046

Legal name
PRIME HEALTHCARE SERVICES - GADSDEN LLC
Doing business as
RIVERVIEW REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 20, 2009
Beds
281
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2015 (6 total)
Organization structure
LLCProprietary
Incorporated
Oct 24, 2014 in DE
Enrollment address
600 S 3Rd St
Gadsden, AL 35901-5304
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Riverview Regional Medical CenterCCN 010046 · All quality measures
Overall star rating
3 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
Prime Healthcare Services Gadsden LLC5 organizations share this tax ID, including this one
Part of
Prime Healthcare Services Gadsden LLC

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Prime Healthcare Services, Inc Organization, Ontario, CA For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2015 100%
Frank Malek Individual Corporate OfficerChief Financial Officer Sep 1, 2020
Steven Aleman Individual OtherChief Financial Officer Jun 1, 2020
Christopher Doan Individual Corporate OfficerChief Compliance Counsel Nov 22, 2017
W-2 Managing EmployeeChief Compliance Counsel Nov 22, 2017
Prime Healthcare Holdings Inc Organization, Ontario, CA Holding company 5% Or Greater Indirect Ownership Interest Mar 1, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 207

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

View all 207

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1801294764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015397",
            "telephone_number": "256-549-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015397",
            "telephone_number": "256-549-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES GADSDEN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTHCARE SERIVCES GASDEN LLC",
        "enumeration_date": "2014-12-09",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "CHAIRMAN/PRESIDENT",
        "authorized_official_telephone_number": "909-235-4400"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.