Organization Active NPI

Triad of Alabama LLC

Doing business as Flowers Hospital

  • General Acute Care Hospital
  • Dothan, AL
National Provider Identifier
1801830500
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10355 Issued in AL
Legal business name
TRIAD OF ALABAMA LLC
Doing business as
Flowers Hospital
Practice address
4370 W Main St
Dothan, AL 36305-1056
Phone
(334) 793-5000
Fax
(334) 793-4613
NPI assigned
Jun 15, 2006
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lithotripsy Clinic/Center 261QL0400X 11810 AL
General Acute Care Hospital 282N00000X 10355 AL Primary

Addresses

Primary practice location

4370 W Main St
Dothan, AL 36305-1056

Mailing address

PO Box 6907
Dothan, AL 36302-6907
Phone (334) 793-5000

Other identifiers 4

IdentifierTypeStateIssuer
00000745AMedicaidGA
ESW0004LMedicaidAL
010209100MedicaidFL
HOS0055HMedicaidAL

Other names 1

  • Flowers Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030825000004 AL Part A Provider - Hospital 9032020474 Practice locations: Dothan, 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…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801830500. Details of each certification follow.

Hospital certification: CCN 010055

Legal name
TRIAD OF ALABAMA LLC
Doing business as
FLOWERS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 13, 2010
Beds
235
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2003 (3 total)
Organization structure
LLCProprietary
Incorporated
Nov 9, 1998 in DE
Enrollment address
4370 W Main St
Dothan, AL 36305-1056
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 13

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

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Flowers HospitalCCN 010055 · All quality measures
Overall star rating
2 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
Access Telecare PPL9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

3805 San Dimas St
Ste B
Bakersfield, CA 93301
Phone (661) 326-9999

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Sep 9, 2013
Corporate DirectorPresident/Board Member Jan 1, 2020
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 9, 2013 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Roman Gabriel Ottinger Individual Corporate OfficerSr. VP/Treasurer Jan 6, 2020
Christopher Stephen Gordon Individual W-2 Managing EmployeeCeo Mar 3, 2025
Paula M Lalor Individual Corporate DirectorDelegated Official Apr 1, 2017
Triad Healthcare LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Tennyson Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Dec 31, 2007 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 1, 2017
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 9, 2013 100%

Facilities with the same owner 120

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

View all 120

Practitioners & affiliated clinicians

Practitioners 48

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 48

Affiliated clinicians 514

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

View all 514

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1801830500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6907",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026907",
            "telephone_number": "334-793-5000",
            "fax_number": "334-793-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051056",
            "telephone_number": "334-793-5000",
            "fax_number": "334-793-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD OF ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "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": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "AL",
            "license": "11810",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "10355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000745A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ESW0004L",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010209100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0055H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flowers Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flowers Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.