NPIMap

Organization Active NPI

Escambia County Alabama Community Hospitals, Inc.

Doing business as Atmore Urgent Care

  • Family Medicine Physician
  • Atmore, AL
National Provider Identifier
1982843314
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC.
Doing business as
Atmore Urgent Care
Practice address
5850 Highway 21
Atmore, AL 36502-3006
Phone
(251) 368-6245
Fax
(251) 368-6248
NPI assigned
Feb 9, 2009
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Bradley Lowery
Title
Administrator
Phone
(251) 368-6362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5850 Highway 21
Atmore, AL 36502-3006

Mailing address

401 Medical Park Dr
Atmore, AL 36502-3006
Phone (251) 368-6384

Other names 1

  • Atmore Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090508000429 AL Part A Provider - Rural Health Clinic 4385616119 Practice locations: Atmore, AL
O20190129001889 AL Part B Supplier - Clinic/Group Practice 4385616119 Receives reassigned benefits from 4 practitioners
Practice locations: Atmore, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982843314. Details of each certification follow.

Rural health clinic certification: CCN 013446

Legal name
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Doing business as
ATMORE URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 24, 2009
Last certification
Apr 26, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1995 in AL
Enrollment address
5850 Hwy 21
Atmore, AL 36502
Related CCNs
010169

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

Other NPIs with the same Medicare PAC ID 5

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
01D2022549Atmore Urgent Care5850 Hwy 21, Atmore, AL 36502Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Escambia Cod W McMilla9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Escambia County Alabama Community Hospitals, Inc Organization, Atmore, AL Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Stephen Fischer Individual Operational/Managerial ControlCfo Sep 1, 2019
Bradley Lowery Individual W-2 Managing EmployeeAdministrator Sep 1, 2019
Operational/Managerial ControlAdministrator Sep 1, 2019

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Ach Family PhysiciansAtmore, AL, CCN 013444 Rural health clinic Operational/Managerial Control Sep 1, 2019
Ach Primary CareAtmore, AL, CCN 013445 Rural health clinic Operational/Managerial Control Sep 1, 2019
Ach Complete CareAtmore, AL, CCN 018500 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1982843314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023006",
            "telephone_number": "251-368-6384",
            "fax_number": "251-368-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 HIGHWAY 21",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023006",
            "telephone_number": "251-368-6245",
            "fax_number": "251-368-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-368-6362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atmore Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atmore Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

Verify at the official NPI Registry.