Health Care Authority of Cullman

Primary specialty

AmbulanceTaxonomy code 341600000X

License

195 Issued in AL

Legal business name

HEALTH CARE AUTHORITY OF CULLMAN

Practice address

601 2ND Ave SW
Cullman, AL 35055-4218

Phone

(256) 734-1584

Fax

(256) 737-0314

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nesha Donaldson

Title

Vice President of Finance

Phone

(256) 737-2595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cullman Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Member organizations 5

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

• Cullman Regional Medical Center Inc

  • Home Health Agency
  • Cullman, AL
  • NPI 1588655161

  Member Of

  NPD member
• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339

  Member Of

  NPD member
• Cullman Regional Medical Center, Inc

  • Radiology Clinic/Center
  • Hartselle, AL
  • NPI 1710640305

  Member Of

  NPD member
• Cullman Regional Medical Center, Inc.

  • Community Based Hospice Care Agency
  • Cullman, AL
  • NPI 1699770792

  Member Of

  NPD member
• Surgery Center of Cullman LLC

  • Ambulatory Surgical Clinic/Center
  • Cullman, AL
  • NPI 1669481255

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 3

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

• Cullman Regional Medical Center Inc

  • Home Health Agency
  • Cullman, AL
  • NPI 1588655161

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Cullman Regional Medical Center, Inc.

  • Community Based Hospice Care Agency
  • Cullman, AL
  • NPI 1699770792

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1942277124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350561250",
            "telephone_number": "256-734-1584",
            "fax_number": "256-737-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 2ND AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554218",
            "telephone_number": "256-734-1584",
            "fax_number": "256-737-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE AUTHORITY OF CULLMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "NESHA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "256-737-2595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000050422",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cullman Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Hawkins
• Linda D Hayes
• Corrie Hazelwood, ATC
• Carmen N Head, MA
• Elizabeth Grace Headley, CCC-SLP
• Health Imaging Services LLC
• Healthchoice, LLC
• Heartcare, PC
• Brandon Thomas Heath, MA, NCC
• Mollie Lindsey Helf, DMD

• All providers in Cullman, AL
• Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.