Community Hospital of Andalusia LLC
Organization Active NPI General Acute Care Hospital · Andalusia, AL
NPI 1821078494 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1821078494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 10333 (AL)
- Legal business name
- COMMUNITY HOSPITAL OF ANDALUSIA LLC
- Practice address
- 849 S Three Notch St
Andalusia, AL 36420-5325 - Phone
- (334) 222-8466
- Fax
- (334) 427-0349
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathy Teague
- Title
- Vice President, Corporate Secretary
- Phone
- (629) 253-5121
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 3
Facilities with the same owner 97
Practitioners 43
-
Pamela Nancy Barber, M.D.
-
Heath A. Parker, D.O.
-
Breena Reid Till, CRNP
-
Vijay Vyas, MD
-
Robin Stafford Fischer, APRN
-
Cherri Ann Jennewein, NP-C
-
Bhagwan D Bang, M.D.
-
Christopher F Blatz, CRNA
-
Rex Allen Butler, M.D.
-
Marc Chatman, CRNP
-
Jesanna Carolan Cooper, M.D.
-
Carmelita M Day, CRNA
-
Jerry Lynn Earnest, CRNA
-
Willie Frank Furr, CRNA
-
James D Harrell, CRNA
-
Margaret E. Ishee, CRNA
-
Kathryn Hale Kennington, CRNA
-
Carson Klein, MD
-
Gina Locke, CRNP FNP-C
-
John E Newsom, RDLD
-
Jeffrey Lynn Ruthford, CRNA
Affiliated clinicians 153
-
Jeffrey William Allman, D.O.
-
Stanley Barnes, M.D.
-
Jason R Bearden, MD
-
Alexandru E Benet, M.D.
-
Yolanda Lynn Beverly, FNP-C
-
Rainer A. Birk, M.D.
-
Christopher F Blatz, CRNA
-
Hugh M Borak, MD
-
Fleming G. Brooks Jr., M.D.
-
Victoria L Buck, MD
-
Rex Allen Butler, M.D.
-
Candace W Cassady, ARNP
-
Amanda Lynn Day, PA-C
-
Timothy G Day, M.D.
-
Jennifer Marie Echols, P.A.
-
Jill Cason Elmore, CNRP
-
Thomas Boyd Farrar, CRNA
-
Willie Frank Furr, CRNA
Medicare Care Compare: Hospital
- Listed as
- Andalusia Health
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Hospital certification: CCN 010036
- Legal name
- COMMUNITY HOSPITAL OF ANDALUSIA LLC
- Doing business as
- ANDALUSIA HEALTH
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 29, 2006
- Beds
- 88
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 6, 1980 in AL
- Enrollment address
- 849 S Three Notch St
Andalusia, AL 36420-5325 - Hospital subgroups
- General, Acute care, Rehabilitation, Swing-bed approved
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Knight Healthcare New-a Sub, LLC |
5% Or Greater Direct Ownership Interest | Dec 23, 2021 | 100% |
| Kindred Healthcare Operating LLC |
Operational/Managerial Control | Dec 23, 2021 | 100% |
| Scott Graeser |
Corporate Officer |
Aug 19, 2022 | |
| Knight Healthcare New-a, LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Dana M Rock |
Corporate Officer |
Dec 9, 2024 | |
| Johnetta M Traylor |
Corporate Officer |
Dec 9, 2024 | |
| W-2 Managing Employee |
Mar 17, 2025 | ||
| Knight Healthcare New-a P, LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Russell Pigg |
Corporate Officer |
Mar 17, 2025 | |
| Knight Health Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Michael Joseph Bean |
Corporate Officer |
Jan 21, 2022 | |
| Knight Health II, LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Alan Wenk |
Corporate Officer |
Mar 17, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040922000319 | AL | Part B Supplier - Clinic/Group Practice | 3173591617 |
Receives reassigned benefits from 8 practitioners 1 other NPI on this enrollment Practice locations: Andalusia, AL; Florala, AL |
| O20041222000812 | AL | Part a Provider - Hospital | 3173591617 | Practice locations: Andalusia, AL |
National Provider Directory
- Tax ID family
- Community Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 10333 | AL | Yes |
Addresses
Primary practice location
849 S Three Notch St
Andalusia, AL 36420-5325
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-4536
Phone (615) 920-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HOS0036H | Medicaid | AL |
Other names
- Andalusia Health
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andalusia@yourcarecommunity.org |
Other providers in Andalusia, AL
- Michael Shannon Cobb
- Comfort Care Hospice, LLC
- Community Anesthesia, LLC
- Community Hospital of Andalusia Inc
- Community Hospital of Andalusia LLC
- Community Hospital of Andalusia, Inc
- Community Hospital of Andalusia, Inc
- Carmen B Cooper
- Cosby & Cosby Counseling & Consultation LLC
- Emma Stacy Cosby
All providers in Andalusia, AL · General Acute Care Hospital in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.