NPIMap

Organization Active NPI

Professional Resources Management, Inc.

Doing business as Bullock County Hospital

  • Rural Acute Care Hospital
  • Union Springs, AL
National Provider Identifier
1992812382
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
11768 Issued in AL
Legal business name
PROFESSIONAL RESOURCES MANAGEMENT, INC.
Doing business as
Bullock County Hospital
Practice address
102 Conecuh Ave W
Union Springs, AL 36089-1303
Phone
(334) 738-2140
Fax
(334) 738-1496
NPI assigned
Aug 23, 2006
Last updated
Feb 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Jacques Jarry
Title
Ceo
Phone
(334) 738-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 11768 AL Primary

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 names 1

  • Bullock County Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992812382. Details of each certification follow.

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
CorporationProprietary
Enrollment address
102 Conecuh Ave W
Union Springs, AL 36089-1303
Other Hospital Practice Location

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Bullock County HospitalCCN 010779 · All quality measures
Type
Rural Emergency Hospital
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

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
R&R Partners LLC Organization, Union Springs, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 4, 2020 100%
Robert Lubin Individual 5% Or Greater Indirect Ownership InterestOwner Aug 4, 2020 100%
Norma Sullivan Individual Corporate OfficerCfo Aug 1, 2020
Corporate DirectorCfo Aug 1, 2020
W-2 Managing EmployeeCfo Aug 1, 2020
Amanda Trawick Individual Corporate OfficerCeo Jun 25, 2023
Corporate DirectorCeo Jun 25, 2023
W-2 Managing EmployeeAd; Jun 25, 2023

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1992812382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CONECUH AVE W",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891303",
            "telephone_number": "334-738-2140",
            "fax_number": "334-738-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CONECUH AVE W",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891303",
            "telephone_number": "334-738-2140",
            "fax_number": "334-738-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RESOURCES MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "JARRY",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-738-2140"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AL",
            "license": "11768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bullock County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union Springs, AL

Sources for this page

Verify at the official NPI Registry.