Professional Resources Management, Inc.
Organization Active NPI Rural Acute Care Hospital · Union Springs, AL
NPI 1992812382 · NPPES record last updated Feb 24, 2017
Key facts
- NPI
- 1992812382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- License
- 11768 (AL)
- Legal business name
- PROFESSIONAL RESOURCES MANAGEMENT, INC.
- Practice address
- 102 Conecuh Ave W
Union Springs, AL 36089-1303 - Phone
- (334) 738-2140
- Fax
- (334) 738-1496
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Jacques Jarry
- Title
- Ceo
- Phone
- (334) 738-2140
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Facilities with the same owner 1
Practitioners 21
-
Jeffrey William Allman, D.O.
-
Roger T Boyington, D.O.
-
William Scott Walters, M.D.
-
Tahir Siddiq, M.D.
-
Robert Milton Cosby, M. D.
-
James D Crosby, MD
-
George M Handey, MD
-
Ricky L Ledkins, MD
-
Heath A. Parker, D.O.
-
Alzo Preyear, DO
-
Adeel Rabbani, M.D., M.P.H.
-
Saeed A Shah, MD
-
Paul E Sheffield, MD
-
Melody Wheaton Shenker, CRNP
-
Hunter Scott Lett, M.D.
-
Weston J Welker, MD
Affiliated clinicians 7
-
Jeffrey William Allman, D.O.
-
Roger T Boyington, D.O.
-
James D Crosby, MD
-
Ricky L Ledkins, MD
-
Tahir Siddiq, M.D.
-
William Scott Walters, M.D.
Medicare Care Compare: Hospital
- Listed as
- Bullock County Hospital
- Type
- Rural Emergency Hospital
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Hospital certification: CCN 010779
- Legal name
- PROFESSIONAL RESOURCES MANAGEMENT, INC.
- Doing business as
- BULLOCK COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Rural emergency hospital
- Participating since
- May 1, 2024
- Last certification
- May 22, 2025
- Beds
- 1
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 102 Conecuh Ave W
Union Springs, AL 36089-1303
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| R&R Partners LLC |
5% Or Greater Direct Ownership Interest | Aug 4, 2020 | 100% |
| Robert Lubin |
5% Or Greater Indirect Ownership Interest |
Aug 4, 2020 | 100% |
| Norma Sullivan |
Corporate Officer |
Aug 1, 2020 | |
| Corporate Director |
Aug 1, 2020 | ||
| W-2 Managing Employee |
Aug 1, 2020 | ||
| Amanda Trawick |
Corporate Officer |
Jun 25, 2023 | |
| Corporate Director |
Jun 25, 2023 | ||
| W-2 Managing Employee |
Jun 25, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040611000549 | AL | Part B Supplier - Clinic/Group Practice | 5597748350 |
Receives reassigned benefits from 21 practitioners 2 other NPIs on this enrollment Practice locations: Union Springs, AL |
| O20240716002131 | AL | Part a Provider - Rural Emergency Hospital (Reh) | 5597748350 | Practice locations: Union Springs, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 11768 | AL | Yes |
Addresses
Primary practice location
102 Conecuh Ave W
Union Springs, AL 36089-1303
Mailing address
102 Conecuh Ave W
Union Springs, AL 36089-1303
Phone (334) 738-2140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA5051 | Other | RAILROAD MEDICARE | |
| 01U110 | Other | AL | MEDICARE SWING BED |
| HOS0110H | Medicaid | AL | |
| 010107 | Other | AL | BCBS |
| C860 | Other | AL | MEDICARE PHYSICIAN GROUP |
Other names
- Bullock County Hospital
Other providers in Union Springs, AL
- Physicians Choice Dialysis of Union Springs LLC
- Brenda Sue Pittman-Hooks
- Professional Resources Management, Inc
- Professional Resources Management, Inc
- Professional Resources Management, Inc.
- Rosalina S. Aguilar
- Rural Community Services, Inc
- Jeff Wayne Sanders
- Sejor Bodywork and Massage
- Shady Acres Inc
All providers in Union Springs, AL · Rural Acute Care Hospital in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2017. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.