Colbert County-Northwest Alabama Healthcare Authority

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

1073601043 Issued in AL

Legal business name

COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY

Doing business as

Red Bay Hospital

Practice address

209 Hospital Rd
Red Bay, AL 35582-3858

Phone

(256) 356-9532

Fax

(256) 356-2809

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITYAs reported in NPPES

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

Authorized official

Name

Mr. Niles V. Floyd

Title

Administrator

Phone

(256) 356-9532

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Red Bay Hospital Doing business as

Tax ID family

Colbert County NW Alabama Healthcare Authority2 organizations share this tax ID, including this one

Part of

Colbert County NW Alabama Healthcare Authority

Other organizations with this tax ID 1

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

• Colbert Co NW Alabama Healthcare Authority

  dba Helen Keller Hospital

  • Oncology Clinic/Center
  • Florence, AL
  • NPI 1740524677
  NPD tax ID

Practitioners 1

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.

• Raynard G. Fabianke, M.D.

  • Family Medicine Physician
  • Red Bay, AL
  • NPI 1851387575
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1851607873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HOSPITAL ROAD",
            "address_2": "DBA/ RED BAY HOSPITAL BOX 490",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "35582",
            "telephone_number": "256-356-9532",
            "fax_number": "256-356-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823858",
            "telephone_number": "256-356-9532",
            "fax_number": "256-356-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "NILES",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-356-9532",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AL",
            "license": "1073601043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY TAXONOMY 282NC0060X  11805LICENSE NUMBER",
            "identifier": "1073601043",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Bay Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cavalier Healthcare of Red Bay LLC (Cavalier Healthcare of Red Bay)
• Billy Yu-Ping Chiou, MD
• Christine L Cleveland, PHARM.D.
• Richard Clarence Clifton III, D.C.
• Colbert Co Northwest Al Healthcare Authority (Keller Community Hospice)
• Kristy Lynn Crandell, M.D.
• Stacy Credille, R.PH.
• Dr. James Nabers DO PC (Nabers Family Medical Clinic)
• Raynard G. Fabianke, M.D.
• Family Health Care Clinic, Inc.

• Critical Access Hospital in Red Bay, AL
• Providers in Red Bay, AL by specialty
• Critical Access Hospital in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.