TRI COUNTY MEDICAL CENTER, INC (NPI# 1093844060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093844060 |
| Entity Type | Organization |
| Organization Name | TRI COUNTY MEDICAL CENTER, INC |
| Other Organization Name | DENTAL CLINIC |
| Practice Address |
1115 Azalea Pl Brewton AL 36426-1318 |
| Mailing Address |
Po Box 726 Evergreen AL 36401-0726 |
| Practice Telephone | 2518093925 |
| Practice Fax Number | 2518096058 |
| Mailing Telephone | 2515781163 |
| Mailing Fax Number | 2515786963 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | MARILYN J SAWYER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2515781163 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI COUNTY MEDICAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DENTAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740430107 | Tri County Medical Center, Inc | Clinic/Center | County Road 49, Lower Peach Tree, AL 36751 | 2008-09-23 |
| 1609906395 | Tri County Medical Center, Inc | Clinic/Center | 1738 Cleveland Ave, Castleberry, AL 36432 | 2007-03-06 |
| 1548390008 | Tri County Medical Center, Inc | Clinic/Center | 53 Mulberry Street, Frisco City, AL 36445 | 2007-03-06 |
| 1407985344 | Tri County Medical Center, Inc | Clinic/Center | 1 Milner St, Fort Deposit, AL 36032-3820 | 2007-03-05 |
| 1245369313 | Tri County Medical Center, Inc | Clinic/Center | 209 7th Ave, Atmore, AL 36502-2603 | 2007-03-05 |
| 1831228766 | Tri County Medical Center, Inc | Clinic/Center | 138 Jones St, Georgiana, AL 36033-4510 | 2007-03-05 |
| 1184754772 | Tri County Medical Center, Inc | Clinic/Center | 210 Hwy 59 South, Uriah, AL 36480 | 2007-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | TRI COUNTY MEDICAL CENTER, INC. | 417 W Colonels Way, Henryville, IN 47126 |
| Street Address |
1115 AZALEA PL |
| City | BREWTON |
| State | AL |
| Zip Code | 36426-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348285 | Gus Bahos | Dentist | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2006-12-01 |
| 1598286809 | Escambia County Health Dept (brewton) Std | Public Health or Welfare | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2017-06-28 |
| 1760892160 | Evangelyn Aletheia Spencer | Dentist | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2014-05-07 |
| 1700206703 | Franklin Primary Health Center, Inc | Dentist | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2014-04-17 |
| 1659568582 | Laurentis L Barnett | Dentist | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2007-09-25 |
| 1164566170 | Escambia County Health Dept-brewton Pat 1st Cm | Case Management | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2007-02-16 |
| 1083758007 | Escambia County Health Dept-brewton Vfc Immun | Public Health or Welfare | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2007-02-16 |
| 1568506384 | Escambia County Health Dept-brewton Fp Cm | Case Management | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2007-02-16 |
| 1093859845 | Escambia County Health Dept-brewton Epsdt Cm | Case Management | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2007-02-16 |
| 1114061959 | Escambia County Health Dept-brewton Prev Health Ed | Public Health or Welfare | 1115 Azalea Pl, Brewton, AL 36426-1318 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013430214 | Rural Urgent Care LLC | Clinic/Center | 2134 Douglas Ave, Brewton, AL 36426 | 2017-07-19 |
| 1063958536 | Nicole Jones | Counselor | 1321 Mcmillan Avenue, Ste A, Brewton, AL 36426 | 2017-01-09 |
| 1225284185 | Mark Herbert Surles | Chiropractor | 217 Belleville Ave, Brewton, AL 36426 | 2008-08-12 |
| 1497972061 | Reese John Robinson | Dentist | 102 Mason St, Brewton, AL 36426 | 2007-04-18 |
| 1265543797 | James Randall Deatherage | Dentist | 422 Douglas Avenue, Brewton, AL 36426 | 2006-08-31 |
| 1053389403 | Andria P Caldwell | Dentist | 1115 Azalea Place, Brewton, AL 36426 | 2006-03-10 |
| 1013043637 | Shai Tanyette Hall | Dentist | 1503 Mcmillan Ave, Brewton, AL 36426-1132 | 2007-02-26 |
| 1700067238 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2007-11-27 |
| 1487265351 | Nicole Marie Eagle | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2020-08-13 |
| 1154763092 | Stacy Miles | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2013-07-19 |
| Find all providers in zip 36426 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790254621 | Brewton Dental Care LLC | Clinic/Center | 420 Douglas Ave, Brewton, AL 36426-2052 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192476 | Jacob L Turner Dmd PC | Clinic/Center | 100 A Andrew Street, Albertville, AL 35950 | 2020-10-23 |
| 1538775150 | Grants Mill Family Dentistry, LLC | Clinic/Center | 1024 Grants Mill Rd, Irondale, AL 35210-2108 | 2020-09-18 |
| 1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1184251100 | Big Wave Dentistry LLC | Clinic/Center | 110 S Alston St, Foley, AL 36535-1912 | 2020-03-27 |
| 1952934226 | Red Mountain Pediatric Dentistry | Clinic/Center | 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-02-14 |
| 1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
| 1881225829 | Bell Road Dentistry LLC | Clinic/Center | 2642 Bell Rd, Montgomery, AL 36117-4375 | 2020-01-29 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
| Find all providers with the same taxonomy | ||||
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| 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.