NPIMap

Organization Active NPI

D. W. McMillan Memorial Hospital

Doing business as D. W. McMillan Home Health

  • Home Health Agency
  • Brewton, AL
National Provider Identifier
1841306099
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
D. W. MCMILLAN MEMORIAL HOSPITAL
Doing business as
D. W. McMillan Home Health
Practice address
114 W Jackson St
Brewton, AL 36426-1516
Phone
(251) 867-5054
Fax
(251) 867-5135
NPI assigned
Aug 21, 2006
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Mr. Phillip Parker
Title
Chairman of the Board / Ceo
Phone
(251) 809-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

114 W Jackson St
Brewton, AL 36426-1516

Mailing address

114 W Jackson St
Brewton, AL 36426-1516
Phone (251) 867-5054

Other identifiers 2

IdentifierTypeStateIssuer
012-00717OtherALBC/BS OF ALABAMA
DWM7143-AMedicaidAL

Other names 1

  • D. W. McMillan Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwmhomehealth@echca.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Escambia Cnty Al Comm Hos9 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

114 W Jackson St
Brewton, AL 36426
Phone (251) 867-5054

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2016 Change of OwnershipThis provider was the seller D.W. McMillan Home HealthCCN 017143, AL, NPI 1083067904

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1841306099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W JACKSON ST",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261516",
            "telephone_number": "251-867-5054",
            "fax_number": "251-867-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W JACKSON ST",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261516",
            "telephone_number": "251-867-5054",
            "fax_number": "251-867-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. W. MCMILLAN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD / CEO",
        "authorized_official_telephone_number": "251-809-8333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ALABAMA",
            "identifier": "012-00717",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DWM7143-A",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwmhomehealth@echca.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "D. W. McMillan Home Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "114 W Jackson St",
            "city": "Brewton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "364261516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "D. W. McMillan Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D. W. McMillan Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewton, AL

Sources for this page

Verify at the official NPI Registry.