Roanoke Healthcare Authority

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

H5601 Issued in AL

Legal business name

ROANOKE HEALTHCARE AUTHORITY

Doing business as

Randolph Medical Center

Practice address

59928 Highway 22
Roanoke, AL 36274-2410

Phone

(334) 863-4111

Fax

(334) 863-5427

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Harlin

Title

Ceo

Phone

(334) 863-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RANDOLPH MEDICAL CENTER Doing business as

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982810404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362740670",
            "telephone_number": "334-863-4111",
            "fax_number": "334-863-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59928 HIGHWAY 22",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362742410",
            "telephone_number": "334-863-4111",
            "fax_number": "334-863-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARLIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-863-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "H5601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED LAB",
            "identifier": "51534246",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANDOLPH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roanoke City
• Roanoke Healthcare Authority (Randolph Medical Center)
• Roanoke Healthcare Authority (Southern Family Health Care)
• Roanoke Healthcare Authority (Randolph Medical Center)
• Roanoke Healthcare Authority (Randolph Medical Center)
• Roanoke Healthcare Center LLC
• Michael Robinson, DO
• Helen Scharko, M.D.
• Dalton Screws
• Mitchell Carey Shirah, M.D.

• Clinical Medical Laboratory in Roanoke, AL
• Providers in Roanoke, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.