COMMUNITY HOSPITAL OF ANDALUSIA LLC (NPI# 1679634257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679634257 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL OF ANDALUSIA LLC |
| Other Organization Name | ANDALUSIA HEALTH |
| Practice Address |
849 S Three Notch St Andalusia AL 36420-5325 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 3342228466 |
| Practice Fax Number | 3344270349 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | KATHY J. TEAGUE (SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HOSPITAL OF ANDALUSIA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Andalusia Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821078494 | Community Hospital of Andalusia LLC | General Acute Care Hospital | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2006-01-19 |
| 1437684305 | Community Hospital of Andalusia LLC | Family Medicine | 24245 5th Ave, Florala, AL 36442-3523 | 2017-04-27 |
| Street Address |
849 S THREE NOTCH ST |
| City | ANDALUSIA |
| State | AL |
| Zip Code | 36420-5325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821078494 | Community Hospital of Andalusia LLC | General Acute Care Hospital | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2006-01-19 |
| 1245848845 | William Scott Riley | Pharmacist | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2020-07-20 |
| 1801363601 | Ryan Keith Harris | Physician Assistant | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2018-10-30 |
| 1598242497 | Community Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2018-07-24 |
| 1013415769 | Moore Emergency Group, LLC | Physician Assistant | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2018-01-29 |
| 1336647098 | Moore Physician Services, LLC | Physician Assistant | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2018-01-29 |
| 1649726001 | Andalusia Professional Services LLC | Physician Assistant | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2016-08-26 |
| 1689037327 | Robin Stafford Fischer | Nurse Practitioner | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2016-03-31 |
| 1295197093 | Siwicki & Ricciardi Pl | Podiatrist | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2016-03-22 |
| 1164883054 | Marc Chatman | Nurse Practitioner | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2016-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184289 | Amber Bryant Seay | Pharmacist | 1991 Mlk Expressway, Andalusia, AL 36420 | 2017-06-14 |
| 1780114587 | Jenifer Harper Stanford | Pharmacist | 1991 M.l. King Jr. Expressway, Andalusia, AL 36420 | 2017-06-14 |
| 1306379797 | Therapy South Andalusia LLC | Physical Therapist | 811 B West Bypass, Andalusia, AL 36420 | 2017-04-04 |
| 1205207685 | Christina Mullen | Hearing Instrument Specialist | 504b East Three Notch St, Andalusia, AL 36420 | 2015-10-12 |
| 1831526029 | Jana M. Mallder | Nurse Practitioner | 508 E Three Notch St # 100, Andalusia, AL 36420 | 2013-10-02 |
| 1902153232 | Alabama Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1204 Dr Mlk Expressway, Audalusia, AL 36420 | 2012-08-06 |
| 1457644320 | Christian Sanders Bentley | Pharmacist | 1017 River Falls Street, Andalusia, AL 36420 | 2011-05-25 |
| 1306152624 | James L Barton LLC | Optometrist | 500 Westgate Plaza, Andalusia, AL 36420 | 2010-08-24 |
| 1538337035 | Olive Tree Healthcare PC | Internal Medicine | 301 Medical Avenue, Suite B, Andalusia, AL 36420 | 2008-02-19 |
| 1528255601 | Vyas & Vyas PC (change) | Internal Medicine | 1212 East Three Notch Street, Andalusia, AL 36420 | 2007-10-02 |
| Find all providers in zip 36420 | ||||
| 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.