Organization Active NPI

Vaughan Regional Medical Center LLC

Doing business as Vaughan Regional Medical Center

  • Rural Acute Care Hospital
  • Selma, AL
National Provider Identifier
1871655993
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
09687 Issued in AL
Legal business name
VAUGHAN REGIONAL MEDICAL CENTER LLC
Doing business as
Vaughan Regional Medical Center
Practice address
1015 Medical Center Pkwy
Selma, AL 36701-6748
Phone
(334) 418-4100
Fax
(334) 418-3599
NPI assigned
Dec 14, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Kathy J. Teague
Title
Assistant Vice President, Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 09687 AL Primary

Addresses

Primary practice location

1015 Medical Center Pkwy
Selma, AL 36701-6748

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other identifiers 6

IdentifierTypeStateIssuer
166728200OtherALUS DEPT. OF LABOR
HOS0118HMedicaidAL
010007OtherALBLUE CROSS
5000100OtherALUNITED HEALTHCARE
9948OtherALHEALTHSPRINGS
6120690OtherALAETNA

Other names 1

  • Vaughan Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vghn@direct.vaughanregional.net

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050907001255 AL Part A Provider - Hospital 0143134171 Practice locations: Selma, AL
O20210219000678 AL Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 142 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Enterprise, AL; Vestavia Hills, AL; Trussville, AL; Talladega, AL; Selma, AL; Prattville, AL; Opelika, AL; Mountain BRK, AL…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871655993. Details of each certification follow.

Hospital certification: CCN 010118

Legal name
VAUGHAN REGIONAL MEDICAL CENTER LLC
Doing business as
VAUGHAN REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 20, 1971
Last certification
May 4, 2001
Beds
214
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2001 (4 total)
Organization structure
LLCProprietary
Incorporated
Aug 8, 2001 in DE
Enrollment address
1015 Medical Center Pkwy
Selma, AL 36701-6748
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Vaughan Regional Medical Center Parkway CampusCCN 010118 · 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
Vaughan Reg Med Ctr LLC4 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.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC, Management services company, For-profit Operational/Managerial Control Jan 21, 2022 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Russell Pigg Individual Corporate OfficerPresident Mar 17, 2025
Knight Healthcare New-C Sub, LLC Organization, Louisville, KY LLC, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Jan 21, 2022 100%
Knight Health Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 21, 2022 100%
Michael Joseph Bean Individual Corporate OfficerVice President, Tax Jan 21, 2022
Knight Healthcare New-C, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 21, 2022 100%
Knight Intermediate Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 21, 2022 100%
Knight Healthcare New-B, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 21, 2022 100%
John David McCormack Individual Contracted Managing EmployeeHospital Ceo Apr 4, 2016
Knight Healthcare New-C P, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 21, 2022 100%
Knight Health II, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 21, 2022 100%
Alan Wenk Individual Corporate OfficerChief Financial Officer Mar 17, 2025
PRHC Alabama LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2001 100%

Facilities with the same owner 97

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

View all 97

Practitioners & affiliated clinicians

Practitioners 21

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 21

Affiliated clinicians 111

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

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1871655993",
    "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": "370275098",
            "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": "1015 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016748",
            "telephone_number": "334-418-4100",
            "fax_number": "334-418-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHAN REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AL",
            "license": "09687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "166728200",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0118H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010007",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000100",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS",
            "identifier": "9948",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6120690",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vghn@direct.vaughanregional.net",
            "affiliation": "N",
            "address_1": "1015 Medical Center Pkwy",
            "city": "Selma",
            "state": "AL",
            "country_code": "US",
            "postal_code": "367016748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vaughan Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vaughan Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.