Jackson County Healthcare Authority

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

JACKSON COUNTY HEALTHCARE AUTHORITY

Doing business as

Cumberland Health and Rehab

Practice address

47065 Alabama Hwy 277
Bridgeport, AL 35740

Phone

(256) 437-7238

Fax

(256) 437-7190

NPI assigned

Sep 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dan B Newell

Title

Cfo

Phone

(256) 218-3856

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cumberland Health and Rehab Doing business as

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861597114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "BRIDGEPORT",
            "state": "AL",
            "postal_code": "35740",
            "telephone_number": "256-437-7238",
            "fax_number": "256-437-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47065 ALABAMA HWY 277",
            "city": "BRIDGEPORT",
            "state": "AL",
            "postal_code": "35740",
            "telephone_number": "256-437-7238",
            "fax_number": "256-437-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-218-3856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757920S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Cloud, PHARM. D
• Essential Access Healthcare, LLC
• Evernorth Direct Health LLC
• HH Health System - Jackson LLC (Cumberland Health and Rehab)
• Brandi Linette Hicks, R.N., C.R.N.P.
• Laxmi LLC (M & M Diagnostics & WalkIn)
• Vinai Montricul, M.D.
• Payne & Pitts, LLC (City of Bridgeport Drugs)
• Tennessee Valley Family Practice Associates PC
• Angel Warr, CPHT

• Nursing Facility/Intermediate Care Facility in Bridgeport, AL
• Providers in Bridgeport, AL by specialty
• Nursing Facility/Intermediate Care Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.