Lakeland Community Hospital, Inc.
Organization Active NPI Rural Health Clinic/Center · Haleyville, AL
NPI 1982162962 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1982162962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- LAKELAND COMMUNITY HOSPITAL, INC.
- Practice address
- 42030 Highway 195 Ste a
Haleyville, AL 35565-7054 - Phone
- (205) 485-7227
- Fax
- (205) 485-7229
- NPI assigned
- Mar 8, 2019
- Organization subpart
- No
Authorized official
- Name
- Cherie Lynn Sibley, FACHE
- Title
- Chief Executive Officer
- Phone
- (205) 485-7152
Owners & managing parties with NPI records 2
-
Seth D Smothers, RPT
Other NPIs with the same Medicare PAC ID 4
Related certifications (CCN) 1
Facilities with the same owner 4
Practitioners 7
-
Erika Lancaster, CRNP
-
Rahe K. McCandless, APRN, FNP-C
-
Karen L Moore, CRNP
-
Wendy McKay Riddle, CRNP
-
Tabatha Michelle Sutherland Marbutt, MSN, APRN, FNP-C
-
Ira Shrestha, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Rural health clinic certification: CCN 013477
- Legal name
- LAKELAND COMMUNITY HOSPITAL INC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 24, 2019
- Last certification
- Apr 1, 2026
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 17, 2014 in AL
- Enrollment address
- 42030 Highway 195
Ste a
Haleyville, AL 35565-7054 - Related CCNs
- 011311
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Roger Dexter Hayes |
Corporate Officer |
Jul 1, 2023 | 14.29% |
| Corporate Director | Jan 1, 2023 | ||
| Venkatapur Ramesh Reddy |
5% Or Greater Indirect Ownership Interest | Dec 28, 2018 | 14.29% |
| Amber James |
Corporate Director | Jan 1, 2025 | 14.29% |
| The Healthcare Authority of Haleyville and Winston County Alabama |
5% Or Greater Direct Ownership Interest | Dec 28, 2018 | 100% |
| Cherie E Sibley |
Corporate Officer |
Jul 1, 2023 | 14.29% |
| W-2 Managing Employee |
Mar 18, 2025 | ||
| Barry Tidwell |
Corporate Director | Jan 1, 2025 | |
| Seth D Smothers |
Corporate Director | Dec 1, 2023 | 14.29% |
| Shannon Gregory Lollar |
Corporate Director | Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190605003093 | AL | Part a Provider - Rural Health Clinic | 8224354618 | Practice locations: Haleyville, AL |
National Provider Directory
Locations
42024 Highway 195
Ste A
Haleyville, AL 35565
Phone (205) 485-7288
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJHGBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
42030 Highway 195 Ste a
Haleyville, AL 35565-7054
Mailing address
42024 Highway 195 Ste a
Haleyville, AL 35565-7054
Phone (205) 485-7227
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168737 | Medicaid | AL |
Other names
- Lakeland Family Practice
Other providers in Haleyville, AL
- Lakeland Community Hospital, Inc.
- Lakeland Community Hospital, Inc.
- Lakeland Community Hospital, Inc.
- Lakeland Community Hospital, Inc.
- Lakeland Community Hospital, Inc.
- Lakeland Physician Practices LLC
- Lakeland Physician Practices LLC
- Lakeland Physician Practices LLC
- Lakeland Physicians LLC
- Dan M Lakeman
All providers in Haleyville, AL · Rural Health Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.