NPIMap

Organization Active NPI

Gulf Health Hospitals, Inc

  • Psychiatric Hospital Unit
  • Bay Minette, AL
National Provider Identifier
1891060828
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H0201 Issued in AL
Legal business name
GULF HEALTH HOSPITALS, INC
Practice address
1815 Hand Ave
Bay Minette, AL 36507-4110
Phone
(251) 435-2290
NPI assigned
Mar 8, 2012
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
GULF HEALTH HOSPITALS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mr. Randy W. Redfoot
Title
Director
Phone
(251) 435-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H0201 AL Primary

Addresses

Primary practice location

1815 Hand Ave
Bay Minette, AL 36507-4110

Mailing address

1815 Hand Ave
Bay Minette, AL 36507-4110
Phone (251) 435-2290

Other names 1

  • North Baldwin Infirmary Psych Subunit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000756 AL Part A Provider - Hospital 3375448491 Practice locations: Bay Minette, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891060828. Details of each certification follow.

Hospital certification: CCN 01S129

Legal name
GULF HEALTH HOSPITALS INC
Doing business as
NORTH BALDWIN INFIRMARY GERIATRIC PSYCH UNIT
Organization structure
CorporationNon-profit
Incorporated
Jan 23, 1985 in AL
Enrollment address
1815 Hand Ave
Bay Minette, AL 36507-4110
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Gulf Health Hospitals19 organizations share this tax ID, including this one
Part of
Gulf Health Hospitals

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Douglas Mark Nix Individual Corporate Director Jan 1, 2009
Scott Browning Individual W-2 Managing Employee Feb 1, 2010
Kern Wilson Individual Corporate Director Jul 1, 2010
Infirmary Health System Organization, Mobile, AL Corporation 5% Or Greater Direct Ownership Interest May 1, 2001
Operational/Managerial Control May 1, 2001
Joseph Lambert Denton Individual Corporate Director Nov 20, 2007
Kerry L Tolleson Individual W-2 Managing Employee Apr 16, 2013
Ormand P Thompson Individual W-2 Managing Employee Feb 1, 2010
Joe T Stough Individual W-2 Managing Employee Dec 1, 2008

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thomas HospitalFairhope, AL, CCN 010100 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Sep 1, 2005
Sep 1, 2005
Thomas HospitalFairhope, AL, CCN 01T100 Hospital Operational/Managerial Control Sep 1, 2005
Thomas Home HealthFairhope, AL, CCN 017148 Home health agency 5% Or Greater Direct Ownership Interest (33%) Jun 1, 2007

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1891060828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-435-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-435-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF HEALTH HOSPITALS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULF HEALTH HOSPITALS, INC",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "REDFOOT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "251-435-2290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AL",
            "license": "H0201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Baldwin Infirmary Psych Subunit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.