NPIMap

Organization Active NPI

Mobile Infirmary Association

  • Psychiatric Hospital Unit
  • Mobile, AL
National Provider Identifier
1902812563
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
11844 Issued in AL
Legal business name
MOBILE INFIRMARY ASSOCIATION
Practice address
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone
(251) 435-5500
NPI assigned
Aug 1, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MOBILE INFIRMARY ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Randy W Redfoot
Title
Director, Reimbursement
Phone
(251) 435-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 11844 AL Primary

Addresses

Primary practice location

5 Mobile Infirmary Cir
Mobile, AL 36607-3513

Mailing address

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-5500

Other names 1

  • MIMC Psychiatric Unit Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090219000656 AL Part A Provider - Hospital 3476456625 Practice locations: Mobile, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902812563. Details of each certification follow.

Hospital certification: CCN 01S113

Legal name
MOBILE INFIRMARY ASSOCIATION
Doing business as
MOBILE INFIRMARY MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1897 in AL
Enrollment address
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric unit, Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Mobile Infirmary Assoc14 organizations share this tax ID, including this one
Part of
Mobile Infirmary Assoc

Other organizations with this tax ID 13

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

View all 13

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 Nov 12, 2007
Scott Browning Individual W-2 Managing Employee Feb 1, 2010
Kern Wilson Individual W-2 Managing Employee Jun 18, 1990
Randy Redfoot Individual W-2 Managing Employee Jul 9, 1990
Infirmary Health System Organization, Mobile, AL Operational/Managerial Control Nov 12, 2007
Joseph Lambert Denton Individual W-2 Managing Employee Nov 12, 2007
Kerry L Tolleson Individual W-2 Managing Employee Apr 16, 2013
Joe T Stough Individual W-2 Managing Employee Dec 1, 2008

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902812563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE INFIRMARY ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBILE INFIRMARY ASSOCIATION",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "REDFOOT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR, REIMBURSEMENT",
        "authorized_official_telephone_number": "251-435-2290"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AL",
            "license": "11844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIMC Psychiatric Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.