NPIMap

Organization Active NPI

Jay Hospital, Inc.

  • Critical Access Hospital
  • Jay, FL
National Provider Identifier
1912918277
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
JAY HOSPITAL, INC.
Practice address
14114 Alabama St
Jay, FL 32565-1219
Phone
(850) 675-8015
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Keith Strickling
Title
Controller
Phone
(850) 675-8024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

14114 Alabama St
Jay, FL 32565-1219

Mailing address

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8015

Other identifiers 11

IdentifierTypeStateIssuer
10173700MedicaidAL
430OtherFLBCBS OF FL
360469300OtherW/C FEDERAL
430OtherHEALTH OPTIONS
10198OtherALBCBS OF AL
550OtherALPRIMEHEALTH OF AL
65431OtherVISTA
HOSO0048POtherALALACAID
160281OtherHEALTHEASE
5001807OtherFLUNITED HEALTH OPTIONS FL
582425149000OtherTRICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125004353 FL Part A Provider - Critical Access Hospital 3577466325 Practice locations: Jay, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912918277. Details of each certification follow.

Hospital certification: CCN 101315

Legal name
JAY HOSPITAL INC
Doing business as
BAPTIST HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2024
Last certification
Feb 21, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 2, 1983 in FL
Enrollment address
14114 Alabama St
Jay, FL 32565-1219
Main/Primary Hospital Location

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Jay HospitalCCN 101315 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Charles Brinkley Individual Corporate OfficerChief Financial Officer Mar 31, 2025 100%
Operational/Managerial ControlChief Financial Officer Mar 31, 2025 100%
Ashlee Hudnall Individual Corporate DirectorRevenue Cycle Operations Director Jun 1, 2022
Mark T Faulker Individual Corporate OfficerCeo Feb 24, 2022 100%
Operational/Managerial ControlCeo Feb 24, 2022 100%
Baptist Health Care, Inc. Organization, Pensacola, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2022 100%
Leonard Andrew Terry Individual Corporate OfficerCfo Apr 1, 2023 100%
Operational/Managerial ControlCfo Apr 1, 2023 100%
Valerie Cadena Individual Corporate OfficerAdministrator Mar 1, 2023 100%
Operational/Managerial ControlAdministrator Mar 1, 2023 100%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Century Medical CenterCentury, FL, CCN 103458 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 12, 2017

Owned or controlled facilities with NPI records 1

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

  • Jay Hospital Inc

    dba Century Medical Center

    • Rural Health Clinic/Center
    • Century, FL
    • NPI 1699192567

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 164

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

View all 164

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1912918277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 ALABAMA ST",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651219",
            "telephone_number": "850-675-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 ALABAMA ST",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651219",
            "telephone_number": "850-675-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "STRICKLING",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "850-675-8024"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10173700",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "430",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "W/C FEDERAL",
            "identifier": "360469300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH OPTIONS",
            "identifier": "430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "10198",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEHEALTH OF AL",
            "identifier": "550",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "65431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "HOSO0048P",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "160281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH OPTIONS FL",
            "identifier": "5001807",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "582425149000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jay, FL

Sources for this page

Verify at the official NPI Registry.