PICKENS COUNTY MEDICAL CENTER,INC (NPI# 1164705380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164705380 |
| Entity Type | Organization |
| Organization Name | PICKENS COUNTY MEDICAL CENTER,INC |
| Practice Address |
241 Robert K Wilson Dr Carrollton AL 35447-0478 |
| Practice Telephone | 2053672408 |
| Practice Fax Number | 2053672121 |
| Mailing Telephone | 2053672408 |
| Mailing Fax Number | 2053672121 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | H WAYNE MCELROY (ADMINISTRATOR) |
| Authorized Official Telephone | 2053678111 |
| Is Organization Subpart | Y |
| Parent Organization Name | PICKENS COUNTY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | H5401 | AL | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE NPI | 1164423679 | 01 | |
| AL | 47910905 | 05 |
| Street Address |
241 ROBERT K WILSON DR |
| City | CARROLLTON |
| State | AL |
| Zip Code | 35447-0478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963584 | Pickens County Medical Center, Inc. | Home Health | 241 Robert K Wilson Dr, Carrollton, AL 35447-8010 | 2005-09-26 |
| 1710530712 | Jessica Gray Lee | Speech-Language Pathologist | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2019-07-18 |
| 1215595087 | Josafean Mullen | Occupational Therapist | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2019-06-05 |
| 1427616895 | Kymberlee Sherrell | Speech-Language Pathologist | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2019-05-31 |
| 1730649542 | Dixie S Alley | Occupational Therapist | 241 Robert K Wilson Dr, Carrollton, AL 35447 | 2019-03-20 |
| 1265933709 | Encore Rehabilitation Inc | Clinic/Center | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2018-02-21 |
| 1447758974 | Margery Hartley | Occupational Therapist | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2018-01-30 |
| 1194170654 | Sallie Turner | Specialist | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2016-05-03 |
| 1285098285 | Ess of Carrollton LLC | Emergency Medicine | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2016-04-06 |
| 1295112308 | Isabel Sanders | Clinic/Center | 241 Robert K Wilson Dr, Pickens County Medical Center, Carrollton, AL 35447 | 2015-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1871847418 | Pickens County Health Care Authority | Home Health | 241 Robert K. Wilson Drive, Carrollton, AL 35447 | 2012-11-05 |
| 1396059382 | Dva Healthcare of Tuscaloosa LLC | Clinic/Center | 289 William E Hill Dr, Suite A, Carrollton, AL 35447 | 2010-08-02 |
| 1356661045 | Joy T Robinson | Dietitian, Registered | 241 Robert K. Wilson Dr., Carrollton, AL 35447 | 2010-06-04 |
| 1114172533 | Benjamin Powell Curry Jr. | Counselor | 190 William E. Hill Drive, Carrollton, AL 35447 | 2008-11-26 |
| 1285817890 | Pickens County Medical Center Senior Care Outpatient Clinic | Counselor | 241 Hwy 17 N, Carrollton, AL 35447 | 2007-12-06 |
| 1790875516 | Mental Health Bd of Bibb Pickens and Tuscaloosa Counties | Clinic/Center | 140 Court Square, Carrollton, AL 35447 | 2006-10-13 |
| 1700986791 | Pickens County Medical Center | Family Medicine | 184 William E. Hill Dr, Carrollton, AL 35447 | 2006-09-22 |
| 1902910276 | Pickens County Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 96 Court Square, Carrollton, AL 35447 | 2006-08-17 |
| Find all providers in zip 35447 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043563166 | Pickens County Health Care Authority | Medicare Defined Swing Bed Unit | 241 Robert K Wilson Drive, Carrollton, AL 35447-0478 | 2012-10-26 |
| 1427119320 | Carroll Count Medical Advisors Lp | Medicare Defined Swing Bed Unit | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1528067113 | Carroll County Memorial Hospital | Medicare Defined Swing Bed Unit | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477835825 | United Florala, Inc | Medicare Defined Swing Bed Unit | 24273 Fifth Avenue, Florala, AL 36442 | 2011-09-12 |
| 1750480406 | Crenshaw County Health Care Authority | Medicare Defined Swing Bed Unit | 101 Hospital Cir, Luverne, AL 36049-7329 | 2006-09-21 |
| 1255959144 | Fort Payne Hospital Corporation | Medicare Defined Swing Bed Unit | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2020-07-08 |
| 1114548930 | Geneva County Healthcare Authority, Inc. | Medicare Defined Swing Bed Unit | 1200 W Maple Ave, Geneva, AL 36340-1642 | 2020-05-04 |
| 1962056143 | Mizell Memorial Hospital | Medicare Defined Swing Bed Unit | 702 N Main St, Opp, AL 36467-1626 | 2019-07-26 |
| 1659868297 | Floyd Cherokee Medical Center LLC | Medicare Defined Swing Bed Unit | 400 Northwood Dr, Centre, AL 35960-1023 | 2018-04-19 |
| 1801309711 | The Health Care Authority of The City of Eufaula | Medicare Defined Swing Bed Unit | 820 W Washington St, Eufaula, AL 36027-1822 | 2017-11-14 |
| 1821511866 | St. Vincent's St. Clair, LLC | Medicare Defined Swing Bed Unit | 7063 Veterans Pkwy, Pell City, AL 35125-5114 | 2017-07-21 |
| 1447772751 | Tanner Medical Center Alabama Inc | Medicare Defined Swing Bed Unit | 1032 Main St South, Wedowee, AL 36278-5139 | 2017-07-10 |
| 1083157275 | Qhg of Enterprise Inc | Medicare Defined Swing Bed Unit | 400 N Edwards St, Enterprise, AL 36330-2510 | 2016-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 35447 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.