NPIMap

Organization Active NPI

Hill Hospital of York

Doing business as Hill Hospital Physicians Clinic

  • Rural Health Clinic/Center
  • York, AL
National Provider Identifier
1942305404
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HILL HOSPITAL OF YORK
Doing business as
Hill Hospital Physicians Clinic
Practice address
724 Derby Dr
York, AL 36925-2122
Phone
(205) 392-7060
Fax
(205) 392-4904
NPI assigned
Sep 13, 2006
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Ms. Loretta Webb
Title
Administrator
Phone
(205) 392-5263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

724 Derby Dr
York, AL 36925-2122

Mailing address

751 Derby Dr
York, AL 36925-2121
Phone (205) 392-7060

Other identifiers 1

IdentifierTypeStateIssuer
540003430MedicaidAL

Other names 1

  • Hill Hospital Physicians Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211000843 AL Part A Provider - Rural Health Clinic 6709788466 Practice locations: York, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942305404. Details of each certification follow.

Rural health clinic certification: CCN 013430

Legal name
HILL HOSPITAL OF YORK
Doing business as
HILL HOSPITAL PHYSICIANS CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 9, 1998
Last certification
Apr 6, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Nov 2, 1992 in AL
Enrollment address
724 Derby Dr
York, AL 36925-2122
Related CCNs
010138

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

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0948711Hill Hospital Physicians Clinic724 Derby Dr, York, AL 36925Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hill Hospital of York5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Loretta Webb Individual W-2 Managing EmployeeCeo/Board Member Mar 10, 2014
Lashandra Webb Individual W-2 Managing EmployeeBusiness Office Manager Sep 4, 2014

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1942305404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 DERBY DR",
            "city": "YORK",
            "state": "AL",
            "postal_code": "369252121",
            "telephone_number": "205-392-7060",
            "fax_number": "205-392-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 DERBY DR",
            "city": "YORK",
            "state": "AL",
            "postal_code": "369252122",
            "telephone_number": "205-392-7060",
            "fax_number": "205-392-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL HOSPITAL OF YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-392-5263",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003430",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Hospital Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, AL

Sources for this page

Verify at the official NPI Registry.