NPIMap

Organization Active NPI

Community Hospital of Andalusia LLC

Doing business as Andalusia Health

  • General Acute Care Hospital
  • Andalusia, AL
National Provider Identifier
1821078494
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10333 Issued in AL
Legal business name
COMMUNITY HOSPITAL OF ANDALUSIA LLC
Doing business as
Andalusia Health
Practice address
849 S Three Notch St
Andalusia, AL 36420-5325
Phone
(334) 222-8466
Fax
(334) 427-0349
NPI assigned
Jan 19, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Kathy Teague
Title
Vice President, Corporate Secretary
Phone
(629) 253-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10333 AL Primary

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 names 1

  • Andalusia Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andalusia@yourcarecommunity.org

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821078494. Details of each certification follow.

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
LLCProprietary
Incorporated
Mar 6, 1980 in AL
Enrollment address
849 S Three Notch St
Andalusia, AL 36420-5325
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation, Swing-bed approved

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
Andalusia HealthCCN 010036 · 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
Community Hosp - Lockhart4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: andalusia@yourcarecommunity.org

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
Knight Healthcare New-a Sub, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 23, 2021 100%
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC, Management services company, For-profit Operational/Managerial Control Dec 23, 2021 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Knight Healthcare New-a, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
W-2 Managing EmployeeAd; Mar 17, 2025
Knight Healthcare New-a P, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Russell Pigg Individual Corporate OfficerPresident Mar 17, 2025
Knight Health Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate OfficerVice President, Tax Jan 21, 2022
Knight Health II, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Alan Wenk Individual Corporate OfficerCfo Mar 17, 2025

Facilities with the same owner 97

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

  • Andalusia Physician Practices LLC

    dba Andalusia Family Healthcare

    • Rural Health Clinic/Center
    • Andalusia, AL
    • NPI 1417663576

    Knight Health Holdings LLC, Knight Health II, LLC, Knight Healthcare New-a P, LLC, Knight Healthcare New-a Sub, LLC, Knight Healthcare New-a, LLC

    CMS ownership
  • Vaughan Regional Medical Center LLC

    dba Marion Clinic

    • Rural Health Clinic/Center
    • Marion, AL
    • NPI 1770600066

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health II, LLC

    CMS ownership
  • Vaughan Regional Medical Center LLC

    dba Vaughan Regional Medical Center

    • Rural Acute Care Hospital
    • Selma, AL
    • NPI 1871655993

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health II, LLC

    CMS ownership
  • CHG Hospital Austin, LLC

    dba Cornerstone Specialty Hospitals Round Rock

    • Rehabilitation Hospital Unit
    • Round Rock, TX
    • NPI 1396326948

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • CHG Hospital Austin, LLC

    dba Cornerstone Specialty Hospitals Round Rock

    • Long Term Care Hospital
    • Round Rock, TX
    • NPI 1912395203

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • CHG Hospital Conroe, LLC

    dba Cornerstone Specialty Hospitals Conroe

    • Long Term Care Hospital
    • Conroe, TX
    • NPI 1073901476

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • CHG Hospital Little Rock, LLC

    dba Cornerstone Specialty Hospitals Little Rock

    • Long Term Care Hospital
    • Little Rock, AR
    • NPI 1346630589

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • CHG Hospital McAllen, LLC

    dba Solara Specialty Hospitals McAllen

    • Long Term Care Hospital
    • McAllen, TX
    • NPI 1760870166

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • Cornerstone Hospital of Huntington, LLC

    dba Cornerstone Specialty Hospitals Huntington

    • Long Term Care Hospital
    • Huntington, WV
    • NPI 1548214786

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • Dallas Ltach, LLC

    dba Kindred Hospital Dallas Central

    • Long Term Care Hospital
    • Dallas, TX
    • NPI 1356559991

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • Dallas Ltach, LLC

    dba Kindred Hospital Dallas Central (Acute Rehab Unit)

    • Rehabilitation Hospital Unit
    • Dallas, TX
    • NPI 1821741539

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • Hartsville, LLC

    dba Carolina Pines Regional Medical Center

    • General Acute Care Hospital
    • Hartsville, SC
    • NPI 1174500458

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health II, LLC

    CMS ownership
View all 97

Practitioners & affiliated clinicians

Practitioners 43

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 43

Affiliated clinicians 153

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

View all 153

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1821078494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 S THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205325",
            "telephone_number": "334-222-8466",
            "fax_number": "334-427-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL OF ANDALUSIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "10333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andalusia@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "849 S Three Notch St",
            "city": "Andalusia",
            "state": "AL",
            "country_code": "US",
            "postal_code": "364205325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Andalusia Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.