NPIMap

Organization Active NPI

The Health Care Authority for Baptist Health, an Affiliate of Uabhs

Doing business as Prattville Baptist Hospital Geriatric Behavioral Health

  • Psychiatric Hospital Unit
  • Prattville, AL
National Provider Identifier
1962092734
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
Doing business as
Prattville Baptist Hospital Geriatric Behavioral Health
Practice address
124 S Memorial Dr
Prattville, AL 36067-3619
Phone
(334) 356-0651
NPI assigned
Jan 25, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Christine Bruton
Title
Senior VP/ Cfo
Phone
(334) 747-4285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

124 S Memorial Dr
Prattville, AL 36067-3619

Mailing address

PO Box 241145
Montgomery, AL 36124-1145
Phone (334) 747-4139

Other names 1

  • Prattville Baptist Hospital Geriatric Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.baptistfirst.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210315000500 AL Part A Provider - Hospital 8426076670 Practice locations: Prattville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962092734. Details of each certification follow.

Hospital certification: CCN 01S108

Legal name
HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
Doing business as
PRATTVILLE BAPTIST HOSPITAL GERIATRIC BEHAVIORAL HEALTH
Organization structure
OtherNon-profit
Incorporated
Jul 1, 2005 in AL
Enrollment address
124 S Memorial Dr
Prattville, AL 36067-3619
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Baptist Heath Neuro Clin19 organizations share this tax ID, including this one
Part of
Baptist Heath Neuro Clin

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Walter Tyner Individual Corporate OfficerCeo Jun 1, 2021
Christine E Bruton Individual Operational/Managerial ControlSenior Vice President/ Cfo Jun 1, 2021
James Eric Morgan Individual W-2 Managing EmployeeCeo Jun 1, 2021
Health Care Authority for Baptist Health, an Affiliate of Uabhs Organization, Montgomery, AL 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Baptist Medical Center SouthMontgomery, AL, CCN 010023 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Prattville Baptist HospitalPrattville, AL, CCN 010108 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Baptist Medical Center EastMontgomery, AL, CCN 010149 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Baptist Medical Center South, Dba CrossbridgeMontgomery, AL, CCN 01S023 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Baptist HospiceMontgomery, AL, CCN 011500 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1962092734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241145",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241145",
            "telephone_number": "334-747-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MEMORIAL DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673619",
            "telephone_number": "334-356-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SENIOR VP/ CFO",
        "authorized_official_telephone_number": "334-747-4285"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.baptistfirst.org",
            "affiliation": "N",
            "address_1": "124 S Memorial Dr",
            "city": "Prattville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360673619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prattville Baptist Hospital Geriatric Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.