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Tanner Medical Center Alabama Inc

Organization Active NPI Critical Access Hospital · Wedowee, AL

NPI 1912428301 · NPPES record last updated Oct 3, 2019

Key facts

NPI
1912428301
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
TANNER MEDICAL CENTER ALABAMA INC
Practice address
1032 Main St South
Wedowee, AL 36278-5139
Phone
(256) 357-2111
NPI assigned
Jul 6, 2017
Organization subpart
No

Authorized official

Name
Carol Crews
Title
Cfo
Phone
(770) 812-9745

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Affiliated clinicians 115

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

View all 115

Medicare Care Compare: Hospital

Listed as
Tanner Medical Center-East Alabama CCN 011306
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Hospital certification: CCN 011306

Legal name
TANNER MEDICAL CENTER ALABAMA INC
Doing business as
TANNER MEDICAL CENTER- EAST ALABAMA
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 9, 2019
Last certification
Aug 22, 2024
Beds
15
Ownership / control type
Hospital district or authority
Organization structure
Corporation · Non-profit
Incorporated
Sep 10, 2015 in AL
Enrollment address
1032 Main St S
Wedowee, AL 36278-7440
Hospital Swing-Bed Unit
Hospital subgroups
General, Acute care, Swing-bed approved, Other

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
Daniel Gordon Jackson
Individual 		Corporate Director
Board of Directors		 Nov 14, 2017
Jo Kicker
Individual 		Corporate Director
Board of Directors		 Nov 14, 2017
Carol Crews
Individual 		5% Or Greater Indirect Ownership Interest
Cfo		 Nov 14, 2017 5%
Corporate Director
Cfo		 Sep 7, 2017
W-2 Managing Employee
Cfo		 Nov 14, 2017
Loy Howard
Individual 		Corporate Director
Board of Directors		 Nov 14, 2017
Robert Bugg
Individual 		Corporate Director
Board of Directors		 Sep 7, 2017
Ramona Diamond
Individual 		Corporate Director
Board of Directors		 Sep 1, 2019
Carol Knight
Individual 		Corporate Director
Board of Directors		 Dec 1, 2022
Jeff L Stewart
Individual 		Corporate Director
Board of Directors		 Sep 7, 2017

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Tanner Primary Care of Roanoke Inc
Roanoke, AL · CCN 013484		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 18, 2019
Tanner Primary Care of Wedowee
Wedowee, AL · CCN 013480		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2019
Woodland Family Healthcare
Woodland, AL · CCN 013481		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190218002014 AL Part a Provider - Hospital 6507123726 Practice locations: Wedowee, AL

National Provider Directory

Locations

1801 1st Ave S
Birmingham, AL 35233
Phone (205) 481-7290

144 US Highway 278
Guin, AL 35563
Phone (205) 269-2448

1030 Main St S
Wedowee, AL 36278
Phone (256) 357-2188

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

1032 Main St South
Wedowee, AL 36278-5139

Mailing address

705 Dixie St
Carrollton, GA 30117-3818

Other names

  • Tanner Medical Center East Alabama Doing business as
  • Tanner Medical Center Other name

Other providers in Wedowee, AL

All providers in Wedowee, AL · Critical Access Hospital in Alabama

Sources for this page

Verify at the official NPI Registry.