NPIMap

Organization Active NPI

Russell Hospital Corporation

Doing business as Russell Medical Center

  • General Acute Care Hospital
  • Alexander City, AL
National Provider Identifier
1811913460
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11873 Issued in AL
Legal business name
RUSSELL HOSPITAL CORPORATION
Doing business as
Russell Medical Center
Practice address
3316 Highway 280
Alexander City, AL 35010-3369
Phone
(256) 329-7109
Fax
(256) 329-7617
NPI assigned
Jul 15, 2006
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Lother E Peace III
Title
President/Ceo
Phone
(256) 329-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11873 AL Primary

Addresses

Primary practice location

3316 Highway 280
Alexander City, AL 35010-3369

Mailing address

3316 Highway 280
Alexander City, AL 35010-3369
Phone (256) 329-7109

Other identifiers 4

IdentifierTypeStateIssuer
04127755MedicaidMS
558200650MedicaidAL
010046OtherALBLUE CROSS OF ALABAMA
HOS0065HMedicaidAL

Other names 1

  • Russell Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040109000579 AL Part B Supplier - Clinic/Group Practice 6406754431 Receives reassigned benefits from 41 practitioners
3 other NPIs on this enrollment
Practice locations: Goodwater, AL; Dadeville, AL; Alexander City, AL
O20081124000221 AL Part A Provider - Hospital 6406754431 Practice locations: Alexander City, AL
O20180919001449 AL Part A Provider - Hospital 6406754431 Practice locations: Alexander City, AL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1811913460. Details of each certification follow.

Hospital certification: CCN 010065

Legal name
RUSSELL HOSPITAL CORPORATION
Doing business as
RUSSELL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 7, 2000
Beds
81
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 23, 1957 in AL
Enrollment address
3316 Highway 280
Alexander City, AL 35010-3369
Other Hospital Practice Location
Hospital subgroups
General, Swing-bed approved

Hospital certification: CCN 01U065

Legal name
RUSSELL HOSPITAL CORPORATION
Doing business as
RUSSELL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Dec 23, 1957 in AL
Enrollment address
3316 Highway 280
Alexander City, AL 35010-3369
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Russell Medical CenterCCN 010065 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Russell Hosp Corptemple5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

3446 Highway 280
Alexander City, AL 35010
Phone (256) 329-7888

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Jake Burton Individual Corporate DirectorBoard Member Dec 7, 2007
Lother Peace Individual Corporate DirectorCeo Apr 7, 2007
Operational/Managerial ControlCeo/President Apr 1, 2007
Edward Polk Hill Individual Corporate DirectorBoard Member Dec 7, 2007
Michele M Goldhagen Individual Corporate DirectorChief of Staff Apr 29, 2014
Thomas Radney Individual Corporate DirectorBoard Member Oct 23, 2008
Paul R Goldhagen Individual Corporate DirectorBoard Member Jul 29, 2014
Randy Haynes Individual Corporate DirectorBoard Member Dec 7, 2007
Hugh Neighbors Individual Corporate DirectorVice Chairman/Board Member Dec 7, 2007
Ralph Frohsin Individual Corporate DirectorBoard Member Dec 7, 2007
J Scott Howell Individual Corporate DirectorSecretary/Treasurer/Board Member Dec 7, 2007
Benjamin Russell Individual Corporate DirectorBoard Member Dec 7, 2007
Fred a McLeod Individual Corporate DirectorBoard Member Dec 7, 2007

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 52

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 52

Affiliated clinicians 198

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

View all 198

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1811913460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103369",
            "telephone_number": "256-329-7109",
            "fax_number": "256-329-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103369",
            "telephone_number": "256-329-7109",
            "fax_number": "256-329-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "LOTHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "256-329-7188",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "11873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04127755",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558200650",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "010046",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0065H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.