Crenshaw Community Hospital – Critical Access Hospital, NPI 1750480406

Crenshaw Community Hospital is a healthcare provider. based in Montgomery, Alabama. specializing in Critical Access Hospital. The organization holds a License No. 11790 (AL). The NPI Number for Crenshaw Community Hospital is 1750480406

Main info

Organization
Name
Crenshaw Community Hospital
NPI
1750480406
Phone
(334) 386-0343
Address
PO BOX 5013
Authorized Official
MICHAEL ANDREW KIMBRO CHAIRMAN
Enumeration Date
21 September 2006
Last Update Date
25 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness90
Years active:19State licenses:1Digital endpoints

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Provider Addresses for Crenshaw Community Hospital

  • 5013, Avoca Avenue, Montgomery Knolls, Ellicott City, Howard County, Maryland, 21043, United States

    MONTGOMERY, AL 361035013

    Phone: (334) 386-0343

    Fax: (334) 386-0382

    Type: Mailing

  • Crenshaw Community Hospital, 101, Hospital Circle, Luverne, Crenshaw County, Alabama, 36037, United States

    LUVERNE, AL 360497329

    Phone: (334) 335-3374

    Fax: (334) 335-1119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1046 days ago).

Enrollment records

4

Earliest due date

2023-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050103000959OClinic/Group PracticeAL2023-07-31
O20201027001062OClinic/Group PracticeAL2025-11-30
O20240830001500OCritical Access HospitalALTBD
O20250401000948OCritical Access HospitalALTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36103)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Crenshaw Community Hospital?
Crenshaw Community Hospital — NPI 1750480406 — is the standard way to identify this listing.
Does CMS list Crenshaw Community Hospital as active?
Yes — Crenshaw Community Hospital is active in the NPI listing used on this page.
What healthcare role does Crenshaw Community Hospital hold?
Scheduling teams often label Crenshaw Community Hospital under Critical Access Hospital. Clinical services aligned with this taxonomy classification.
What address line appears for Crenshaw Community Hospital?
Crenshaw Community Hospital's geographic hint is Montgomery, Alabama in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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