FAYETTE MEDICAL CENTER (NPI# 1265516462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265516462 |
| Entity Type | Organization |
| Organization Name | FAYETTE MEDICAL CENTER |
| Other Organization Name | FAYETTE MEDICAL CENTER SWING BED UNIT |
| Practice Address |
1653 Temple Ave N Fayette AL 35555-1314 |
| Mailing Address |
809 University Blvd E Tuscaloosa AL 35401-2029 |
| Practice Telephone | 2059321280 |
| Practice Fax Number | 2057596397 |
| Mailing Telephone | 2057597378 |
| Mailing Fax Number | 2057596397 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | KERI H HINDMAN (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 2057597378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 11804 | AL | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RAILROAD MEDICARE | CG6924 | 01 |
| Other Name | Type Code |
|---|---|
| Fayette Medical Center Swing Bed Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629152822 | Fayette Medical Center | Hospice Care, Community Based | 120 15th Street Nw, Fayette, AL 35555-1526 | 2006-10-24 |
| 1245226430 | Fayette Medical Center | Custodial Care Facility | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2005-09-22 |
| 1841421757 | Fayette Medical Center | Surgery | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2009-07-28 |
| 1851323836 | Fayette Medical Center | General Acute Care Hospital | 1653 Temple Ave N, Fayette, AL 35555 | 2006-07-07 |
| Street Address |
1653 TEMPLE AVE N |
| City | FAYETTE |
| State | AL |
| Zip Code | 35555-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226430 | Fayette Medical Center | Custodial Care Facility | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2005-09-22 |
| 1093201543 | Relias Emergency Medicine Specialists of Fayette, LLC | Emergency Medicine | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2018-07-09 |
| 1952777336 | Jonataha Jones | Respiratory Therapist, Registered | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2015-08-19 |
| 1790167864 | Dakota S Acton Jones | Family Medicine | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2015-06-24 |
| 1194147637 | Fayette Medical Center-crna | Nurse Anesthetist, Certified Registered | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2014-01-17 |
| 1528312352 | Laura Caryn Goforth | Physical Therapy Assistant | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2012-10-31 |
| 1831440817 | Temple Emergency Group LLC | Physician Assistant | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2012-10-01 |
| 1841421757 | Fayette Medical Center | Surgery | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2009-07-28 |
| 1831394238 | Cynthia L Wright | Nurse Anesthetist, Certified Registered | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2007-06-18 |
| 1720163090 | Fayette Medical Center Ambulance | Ambulance | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213021 | Brittany Nicole Pate | Pharmacist | 3186 Al-171 N, Fayette, AL 35555 | 2020-07-24 |
| 1942703020 | The Language Lab | Clinic/Center | 111 Columbus Street East, Fayette, AL 35555 | 2018-03-14 |
| 1407292709 | Lana Langley | Speech-Language Pathologist | 111 Columbus St E, Fayette, AL 35555 | 2013-05-14 |
| 1992096275 | Wendy Dawn Benton | Nurse Practitioner | 122 17th Court Ne, Fayette, AL 35555 | 2011-04-21 |
| 1699004929 | Patricia Lorraine Montgomery | Counselor | 123 2nd Avenue, Nw, Fayette, AL 35555 | 2009-12-16 |
| 1184826398 | Charles Thomas Webster | Pharmacist | 1116 2nd Ave Ne, Fayette Square Shopping Center, Fayette, AL 35555 | 2007-06-01 |
| 1114060381 | Fayette County Health Dept Adult Immun | Public Health or Welfare | 211 First Street, N.w., Fayette, AL 35555 | 2007-02-15 |
| 1356433064 | Dana Suzette Norris | Nurse Practitioner | 1653 Temple Ave N Ste 1, Fayette, AL 35555 | 2006-09-29 |
| 1992788871 | Air Evac Ems Inc | Ambulance | 108 21st St Ne, Fayette, AL 35555 | 2005-11-23 |
| 1255656112 | Debbie Kilgore Yerby | Pharmacist | 1716 Temple Avenue North, Fayette, AL 35555 | 2010-04-05 |
| Find all providers in zip 35555 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.