NPIMap

Organization Active NPI

Geneva County Healthcare Authority, Inc.

Doing business as Lifetime Health Services

  • Psychiatric Hospital Unit
  • Geneva, AL
National Provider Identifier
1801931944
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
7006 Issued in AL
Legal business name
GENEVA COUNTY HEALTHCARE AUTHORITY, INC.
Doing business as
Lifetime Health Services
Practice address
1200 W Maple Ave
Geneva, AL 36340-1642
Phone
(334) 684-3655
Fax
(334) 684-6564
NPI assigned
Feb 20, 2007
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Mr. Charles A Faulkner
Title
Ceo
Phone
(334) 684-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 7006 AL Primary

Addresses

Primary practice location

1200 W Maple Ave
Geneva, AL 36340-1642

Mailing address

1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655

Other names 1

  • LIFETIME HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1801931944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401642",
            "telephone_number": "334-684-3655",
            "fax_number": "334-684-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401642",
            "telephone_number": "334-684-3655",
            "fax_number": "334-684-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA COUNTY HEALTHCARE AUTHORITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-684-3655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AL",
            "license": "7006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFETIME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Geneva, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.