NPIMap

Organization Active NPI

Marion Regional Medical Center, Inc.

Doing business as Marion Regional Medical Center

  • General Acute Care Hospital
  • Hamilton, AL
National Provider Identifier
1932160082
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H4703 Issued in AL
Legal business name
MARION REGIONAL MEDICAL CENTER, INC.
Doing business as
Marion Regional Medical Center
Practice address
1256 Military St S
Hamilton, AL 35570-5003
Phone
(205) 921-6200
Fax
(205) 921-6260
NPI assigned
Mar 29, 2006
Last updated
Nov 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MARION REGIONAL MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Mr. Joseph A Reppert
Title
Cfo
Phone
(662) 377-3978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H4703 AL Primary

Addresses

Primary practice location

1256 Military St S
Hamilton, AL 35570-5003

Mailing address

1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200

Other identifiers 5

IdentifierTypeStateIssuer
0431192OtherALHEALTHSPRINGS PROVIDER NU
00220220MedicaidMS
010-156OtherALBLUE CROSS PROVIDER NUMBE
07929201MedicaidMS
HOS0044HMedicaidAL

Other names 1

  • Marion Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031124000559 AL Part B Supplier - Clinic/Group Practice 1658282322 Receives reassigned benefits from 41 practitioners
7 other NPIs on this enrollment
Practice locations: Hamilton, AL
O20071228000507 AL Part A Provider - Hospital 1658282322 Practice locations: Hamilton, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932160082. Details of each certification follow.

Hospital certification: CCN 010044

Legal name
MARION REGIONAL MEDICAL CENTER, INC.
Doing business as
MARION REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 1, 1981
Last certification
Jan 15, 2014
Beds
57
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 2, 2000 (7 total)
Organization structure
CorporationNon-profit
Incorporated
Jun 14, 2000 in DE
Enrollment address
1256 Military S St
Hamilton, AL 35570-5003
Main/Primary Hospital Location
Hospital subgroups
Acute care

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).

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Marion Regional Medical CenterCCN 010044 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Marion Regional Medical Center2 organizations share this tax ID, including this one
Part of
Marion Regional Medical

Other organizations with this tax ID 1

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

Locations

1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Bobby Walace Individual Corporate DirectorBoard Member Nov 1, 2011
Freemon Nixon Individual Corporate DirectorBoard Member Aug 13, 2022
Robert Trimm Individual W-2 Managing EmployeeAdministrator Oct 1, 2020
North Mississippi Health Services Inc Organization, Tupelo, MS Non-profit 5% Or Greater Direct Ownership Interest Oct 2, 2000
Bruce J Toppin Individual Corporate OfficerSecretary Oct 2, 2000
Corporate Director Oct 2, 2000
W-2 Managing Employee Oct 2, 2000
Clyde S Nix Individual Corporate DirectorBoard Member Nov 1, 2011
Waymon Frederick Individual Corporate DirectorBoard Member Aug 13, 2022
Sharon D Nobles Individual Corporate OfficerTreasurer Apr 4, 2017
Michael S Spees Individual Operational/Managerial ControlCeo Feb 1, 2014
Belinda McRae Individual Corporate DirectorBoard Member Aug 13, 2022

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Marion Regional Nursing HomeHamilton, AL, CCN 015167 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Jun 14, 2000
Jun 14, 2000
May 15, 2025
Alabama Homecare of HamiltonHamilton, AL, CCN 017100 Home health agency 5% Or Greater Direct Ownership Interest (33%) Mar 23, 2009

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 58

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 58

Affiliated clinicians 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1932160082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705003",
            "telephone_number": "205-921-6200",
            "fax_number": "205-921-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705003",
            "telephone_number": "205-921-6200",
            "fax_number": "205-921-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION REGIONAL MEDICAL CENTER, INC.",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "REPPERT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "662-377-3978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "H4703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS PROVIDER NU",
            "identifier": "0431192",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220220",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "010-156",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07929201",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0044H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, AL

Sources for this page

Verify at the official NPI Registry.