FCI TALLADEGA (NPI# 1033719729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033719729 |
| Entity Type | Organization |
| Organization Name | FCI TALLADEGA |
| Practice Address |
565 E. Renfroe Road Telladega AL 35160 |
| Practice Telephone | 2563154127 |
| Practice Fax Number | 2563154390 |
| Mailing Telephone | 2563154127 |
| Mailing Fax Number | 2563154390 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | DR. CASEY DELANE SUMNER (CHIEF PHARMACIST) |
| Authorized Official Telephone | 2563154127 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | FEDERAL BUREAU OF PRISONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
Ambulatory Health Care Facilities |
| Street Address |
565 E. RENFROE ROAD |
| City | TELLADEGA |
| State | AL |
| Zip Code | 35160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206740 | Robert Heuermann Md LLC | Surgery | 107 Patty Lane, Talladega, AL 35160 | 2020-02-06 |
| 1235799404 | Rehab and Wellness Clinic, LLC | Pain Medicine | 129 Stephen J White Blvd, Talladega, AL 35160 | 2019-06-19 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1780119073 | Rural Urgent Care LLC | Clinic/Center | 837 E Battle St, Talladega, AL 35160 | 2017-04-25 |
| 1750511432 | Uninibile O Odama | Internal Medicine | 210 North Street W, Suite D, Landmark Nephrology and Hypertension Clinic, Talladega, AL 35160 | 2009-07-16 |
| 1477708857 | Island Medical Troy Alabama LLC | Emergency Medicine | 604 Stone Avenue, Talladega, AL 35160 | 2008-11-26 |
| 1023284676 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 805 North Street East, Talladega, AL 35160 | 2008-05-05 |
| 1942496575 | Renal Treatment Centers Southeast Lp | Clinic/Center | 726 Battle St E, Ste A, Talladega, AL 35160 | 2007-09-18 |
| 1770635625 | Julie Moon Inc | Eyewear Supplier (Equipment, not the service) | 113 S J White Blvd, Talladega, AL 35160 | 2007-01-18 |
| Find all providers in zip 35160 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
Please comment or provide details below to improve the information on FCI TALLADEGA.
| 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.