JACKSON COUNTY HEALTHCARE AUTHORITY (NPI# 1861597114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861597114 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY HEALTHCARE AUTHORITY |
| Other Organization Name | CUMBERLAND HEALTH AND REHAB |
| Practice Address |
47065 Alabama Hwy 277 Bridgeport AL 35740 |
| Mailing Address |
Po Box 1002 Bridgeport AL 35740 |
| Practice Telephone | 2564377238 |
| Practice Fax Number | 2564377190 |
| Mailing Telephone | 2564377238 |
| Mailing Fax Number | 2564377190 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAN B NEWELL (CFO) |
| Authorized Official Telephone | 2562183856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4757920S | 05 |
| Other Name | Type Code |
|---|---|
| Cumberland Health and Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548422033 | Jackson County Healthcare Authority | Clinic/Center | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 | 2008-06-26 |
| 1306941604 | Jackson County Healthcare Authority | Home Health | 380 Woods Cove Rd, Scottsboro, AL 35768 | 2006-09-13 |
| 1932204138 | Jackson County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 380 Woods Cove Rd, Scottsboro, AL 35768 | 2006-09-13 |
| 1659473916 | Jackson County Healthcare Authority | General Acute Care Hospital | 380 Woods Cove Rd, Scottsboro, AL 35768 | 2006-09-05 |
| 1427164177 | Jackson County Healthcare Authority | Clinical Nurse Specialist | 380 Woods Cove Rd, Scottsboro, AL 35768 | 2006-08-22 |
| Street Address |
47065 ALABAMA HWY 277 |
| City | BRIDGEPORT |
| State | AL |
| Zip Code | 35740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912312232 | Paige Cloud | Pharmacist | 50452 Al Hwy 277, Bridgeport, AL 35740 | 2014-06-25 |
| 1508062423 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 615 Kendall Ave, Bridgeport, AL 35740 | 2007-06-26 |
| 1851624407 | B & L Drugs Inc | Pharmacy | 50452 Al Highway 277, Bridgeport, AL 35740-6517 | 2009-09-15 |
| 1124174917 | Laxmi LLC | Family Medicine | 47005 Al Highway 277, Bridgeport, AL 35740-7205 | 2007-01-26 |
| 1740331024 | Brandi Linette Hicks | Physician Assistant | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2007-01-15 |
| 1386075976 | Tennessee Valley Family Practice Associates PC | Family Medicine | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2013-12-06 |
| 1033372867 | Bridgeport Pain Clinic | Clinic/Center | 47053 Al Highway 277, Suite B, Bridgeport, AL 35740-7205 | 2008-07-02 |
| 1760505887 | Vinai Montricul | Family Medicine | 47910 Al Highway 277, Bridgeport, AL 35740-7206 | 2007-04-06 |
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
| 1528666955 | Emily Mariah Wolf | Counselor | 1154 Walnut Grove Rd, Bridgeport, NY 13030-9760 | 2020-10-16 |
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1629684410 | Far Rahman | Nutritionist | 386 Myrtle Ave, Bridgeport, CT 06604-5443 | 2020-09-17 |
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1457965113 | Cassandra Dewees | Case Manager/Care Coordinator | 70259 Sunset Hts, Bridgeport, OH 43912-8726 | 2020-09-01 |
| 1437763166 | Emily Ann Haws | Case Manager/Care Coordinator | 203 Willow Greene Dr, Bridgeport, WV 26330-7974 | 2020-09-01 |
| 1154935914 | Michael D Bond | Case Manager/Care Coordinator | 33 Timberbrook Ln, Bridgeport, WV 26330-7976 | 2020-08-31 |
| Find all providers in BRIDGEPORT | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336524586 | Bridgeport Health Care Center, LLC | Nursing Facility/Intermediate Care Facility | Rt 4 Box 17, Bridgeport, WV 26330-9509 | 2015-07-29 |
| 1255427415 | Bridgeport Senior Living, LLC | Nursing Facility/Intermediate Care Facility | Rr 4 Box 17, Bridgeport, WV 26330-9509 | 2006-10-05 |
| 1528022886 | Bridgeport Care Center, Inc | Nursing Facility/Intermediate Care Facility | 102 W Cates St, Bridgeport, TX 76426-2709 | 2006-04-13 |
| 1710421896 | Bridgeport Center LLC | Nursing Facility/Intermediate Care Facility | 41 Crestview Ter, Bridgeport, WV 26330-1010 | 2016-12-08 |
| 1891034112 | Kristie Lynn Komorowski | Nursing Facility/Intermediate Care Facility | 415 Benedum Dr, Bridgeport, WV 26330-1503 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998864 | Advance Med | Nursing Facility/Intermediate Care Facility | 117 Rocky Ridge St, Carrollton, AL 35447-2139 | 2017-01-10 |
| 1568863785 | Mobile Picc Specialists | Nursing Facility/Intermediate Care Facility | 39 Ashwood Rd, Butler, AL 36904-2860 | 2014-09-07 |
| 1740552306 | Oakwoods Dream Care Assisted Living Facility LLC. | Nursing Facility/Intermediate Care Facility | 1008 Oakwood Ave Nw, Huntsville, AL 35811-1661 | 2012-01-29 |
| 1609077577 | Rtg Medical | Nursing Facility/Intermediate Care Facility | 400 N Ash Ave, Demopolis, AL 36732-2444 | 2007-05-30 |
| 1154380632 | Crowne Health Care of Mobile, LLC | Nursing Facility/Intermediate Care Facility | 954 Navco Rd, Mobile, AL 36605-2413 | 2006-03-22 |
| 1285693762 | Evergreen Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 100 Sanders Dr, Evergreen, AL 36401-3306 | 2006-03-22 |
| 1508825076 | Crowne Health Care of Fort Payne, LLC | Nursing Facility/Intermediate Care Facility | 403 13th St Nw, Fort Payne, AL 35967-3145 | 2006-03-22 |
| 1043279532 | Crowne Health Care of Eufaula, LLC | Nursing Facility/Intermediate Care Facility | 430 Rivers Ave, Eufaula, AL 36027-1820 | 2006-03-22 |
| 1659330132 | Parkwood Health Care Facility, LLC | Nursing Facility/Intermediate Care Facility | 3301 Stadium Dr, Phenix City, AL 36867-3115 | 2006-03-22 |
| 1740249200 | Atmore Nursing Center, LLC | Nursing Facility/Intermediate Care Facility | 715 E Laurel St, Atmore, AL 36502-3113 | 2006-03-22 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 35740 |
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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.