ROANOKE HEALTHCARE AUTHORITY NPI 1275591992

NPI Information

NPI: 1275591992
Provider Name: ROANOKE HEALTHCARE AUTHORITY

Doing Business As: RANDOLPH MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
59928 HIGHWAY 22
ROANOKE, AL
ZIP 36274
Phone: (334) 863-4111
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ROANOKE HEALTHCARE AUTHORITY is a critical access general acute care hospital in Roanoke, AL. The provider is definition to come. ROANOKE HEALTHCARE AUTHORITY NPI is 1275591992. The provider is registered as an organization entity type.
The provider Is Doing Business As Randolph Medical Center.

The provider's business location address is:

59928 HIGHWAY 22
ROANOKE, AL
ZIP 36274-410
Phone: (334) 863-4111
Fax: (334) 863-5427

The provider's authorized official is Jon Dixon .
The authorized official title is Administrator/ceo and has the following contact phone number (334) 863-4111.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 2/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	H5601	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HOS1303H	MEDICAID	ALABAMA
2	K745	MEDICARE PIN	ALABAMA
3	01045	OTHER	ALABAMA	BCBS OF AL
4	011303	MEDICARE OSCAR/CERTIFICATION	ALABAMA
5	HOS0098H	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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