COMPLETE CARE MEDICAL CLINIC, LLC (NPI# 1063556926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063556926 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE MEDICAL CLINIC, LLC |
| Practice Address |
1300 Bessemer Rd Birmingham AL 35208-4326 |
| Practice Telephone | 2059290565 |
| Practice Fax Number | 2059290564 |
| Mailing Telephone | 2059290565 |
| Mailing Fax Number | 2059290564 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | DR. PATRICK E IFEDIBA (BILLING MANAGER) |
| Authorized Official Telephone | 2059290565 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
19014 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529921350 | 05 |
| Street Address |
1300 BESSEMER RD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35208-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750422143 | Uchenna Grace Ifediba | Internal Medicine | 1300 Bessemer Rd, Birmingham, AL 35208-4326 | 2007-02-09 |
| 1669837845 | Hannah J. Maddox | Nurse Practitioner | 1300 Bessemer Rd, Birmingham, AL 35208-4326 | 2015-12-15 |
| 1750728846 | Care Complete Medical Clinic(ccmc)llc | Clinic/Center | 1300 Bessemer Rd, Suite A, Birmingham, AL 35208-4326 | 2013-05-29 |
| 1932543436 | Slyvia Muthoni Waweru | Nurse Practitioner | 1300 Bessemer Rd, Birmingham, AL 35208-4326 | 2013-04-26 |
| 1902085582 | Patrick Ifediba Md LLC | Internal Medicine | 1300 Bessemer Rd, Birmingham, AL 35208-4326 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030377 | Angelica Winston | Technician | 2042 48th Pl Ensley, Birmingham, AL 35208 | 2020-07-13 |
| 1275189276 | Mary Ruth Dowdell | Technician | 1605 Bush Blvd, B'ham, AL 35208 | 2019-08-15 |
| 1184161937 | Chernise Camberian Whitaker | Licensed Practical Nurse | 2561 29st Ensley, Birmingham, AL 35208 | 2017-01-31 |
| 1669884011 | Delores Johnson | Specialist | 1760-50th Street West, Birmingham, AL 35208 | 2014-05-20 |
| 1215193750 | Gilbert Robbins IIi | Counselor | 1570 Bessemer Road, The Counseling Center, Birmingham, AL 35208 | 2008-08-04 |
| 1508020421 | Richard E Morgan Sr. | Dentist | 3041 Ensley Av, Birmingham, AL 35208 | 2008-07-10 |
| 1235342379 | Morris Lee Panter | Chiropractor | 1401 3rd Ave, West, Suite 108, Birmingham, AL 35208 | 2007-05-07 |
| 1922105832 | Thomas Allen Quinn | Pharmacist | 2200 Bessemer Hwy, Winn Dixie Pharmacy # 0405, Birmingham, AL 35208 | 2006-09-20 |
| 1598849135 | Sara Harper Nauck | Pharmacist | 2220 Bessemer Hwy, Birmingham, AL 35208 | 2006-10-24 |
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| Find all providers in zip 35208 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528548666 | Pediatrics Pm, LLC. | Clinic/Center | 1502 5th Ave S, Birmingham, AL 35233-1615 | 2018-08-17 |
| 1154725265 | G & G Medical Care Inc. | Clinic/Center | 5152 Colonial Park Rd, Birmingham, AL 35242-3264 | 2014-10-17 |
| 1821272980 | American Current Care, P.a., P.C. | Clinic/Center | 2500 Fourth Avenue, Birmingham, AL 35233 | 2007-12-26 |
| 1083228597 | Dr Celeste Reese Willis Medical Group, LLC | Clinic/Center | 1201 19th St N, Birmingham, AL 35234-2560 | 2020-09-02 |
| 1427440577 | Alexandra Gybbon Fallon | Clinic/Center | 500 Cahaba Park Cir Ste 100, Birmingham, AL 35242-8136 | 2015-02-26 |
| 1063857209 | Jefferson County Commission | Clinic/Center | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2013-05-01 |
| 1063676237 | Meadowbrook Urgent Care | Clinic/Center | 33722 Woodward Ave, Birmingham, MI 48009-0912 | 2008-07-16 |
| 1649440579 | Meadowbrook Urgent Care PC | Clinic/Center | 33722 Woodward Ave, Birmingham, MI 48009-0912 | 2008-03-06 |
| 1558544999 | American Current Care Pa | Clinic/Center | 110 Oxmoor Court, Birmingham, AL 35209-6341 | 2007-12-07 |
| 1184843898 | Meadowbrook Urgent Care PC | Clinic/Center | 33722 Woodward Ave, Birmingham, MI 48009-0912 | 2007-04-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35208 |
Please comment or provide details below to improve the information on COMPLETE CARE MEDICAL CLINIC, LLC.
| 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.