CAHABA MEDICAL CARE FOUNDATION (NPI# 1093058133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093058133 |
| Entity Type | Organization |
| Organization Name | CAHABA MEDICAL CARE FOUNDATION |
| Practice Address |
294 Pierson Avenue Centreville AL 35042 |
| Mailing Address |
405 Belcher St Centreville AL 35042-2946 |
| Practice Telephone | 2059262992 |
| Practice Fax Number | 2059262993 |
| Mailing Telephone | 2059262992 |
| Mailing Fax Number | 2059262993 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | DR. JOHN BRYAN WAITS (CEO) |
| Authorized Official Telephone | 2059262992 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437710183 | Cahaba Medical Care Foundation | Clinic/Center | 1305 Princeton Ave Sw, Birmingham, AL 35211-1544 | 2019-06-24 |
| 1881153401 | Cahaba Medical Care Foundation | Clinic/Center | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2019-03-13 |
| 1427514199 | Cahaba Medical Care Foundation | Clinic/Center | 623 8th Ave W, Birmingham, AL 35204-3604 | 2019-02-18 |
| 1316498041 | Cahaba Medical Care Foundation | Clinic/Center | 260 Walnut St, Centreville, AL 35042-2332 | 2016-10-18 |
| 1891165437 | Cahaba Medical Care Foundation | Clinic/Center | 975 9th Ave Sw Ste 210, Bessemer, AL 35022-7839 | 2015-09-25 |
| 1316289515 | Cahaba Medical Care Foundation | Clinic/Center | 405 Belcher St, Centreville, AL 35042-2946 | 2013-03-26 |
| 1316201809 | Cahaba Medical Care Foundation | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2012-06-28 |
| Street Address |
294 PIERSON AVENUE |
| City | CENTREVILLE |
| State | AL |
| Zip Code | 35042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548305139 | Melody Dawn Randolph | Pharmacist | 1130 Walnut Street, Centreville, AL 35042 | 2007-02-21 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| 1558855387 | Sajel Nuwamanya | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1912491838 | Paul Abraham | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1386138105 | Alexander Lea | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1831683747 | Whitney Hudman | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1639663453 | Julia Todd | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1891289716 | Mya Stayton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1548754419 | Malia Swanson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-14 |
| 1467945584 | Jasmine Heard | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-13 |
| Find all providers in zip 35042 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1972752038 | The Coleman Therapy Center | Clinic/Center | 15109 Lee Hwy, Centreville, VA 20121-2122 | 2008-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999833 | Healthworks Medical Group of Alabama P C | Clinic/Center | 9000 Greenbrier Pkwy Nw, Madison, AL 35756-4453 | 2020-10-13 |
| 1508470899 | Healthworks Medical Group of Alabama P C | Clinic/Center | 200 Waits Dr, Andalusia, AL 36421-2431 | 2020-09-03 |
| 1770195737 | Alabama Game Changers | Clinic/Center | 2111 Parkway Office Cir Ste 150, Hoover, AL 35244-2920 | 2020-08-20 |
| 1437710183 | Cahaba Medical Care Foundation | Clinic/Center | 1305 Princeton Ave Sw, Birmingham, AL 35211-1544 | 2019-06-24 |
| 1184282840 | St Luke Integrative Medical Center Inc | Clinic/Center | 415e Church St Nw Ste 4, Huntsville, AL 35801-5577 | 2019-05-29 |
| 1750844775 | Wecare Tlc- Poa Birmingham | Clinic/Center | 2024 2nd Ave N Ste C-2, Birmingham, AL 35203-3732 | 2019-04-08 |
| 1689137705 | Wecare Tlc- Poa Hoover | Clinic/Center | 4745 Chace Cir Ste 101, Hoover, AL 35244-3713 | 2019-04-08 |
| 1619430733 | Wecare Tlc- Poa Huntsville | Clinic/Center | 7738 Madison Blvd Ste A, Huntsville, AL 35806-3660 | 2019-04-08 |
| 1124590468 | Ross Bridge Medical Center Pediatrics, LLC | Clinic/Center | 3635 Market St Ste B, Birmingham, AL 35226-6391 | 2018-12-27 |
| 1679079867 | Alacare Home Health Services, Inc. | Clinic/Center | 2400 John Hawkins Pkwy Ste 104, Hoover, AL 35244-3500 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 35042 |
Please comment or provide details below to improve the information on CAHABA MEDICAL CARE FOUNDATION.
| 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.