ST. VINCENT'S HOSPITAL (NPI# 1134255409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134255409 |
Entity Type | Organization |
Organization Name | ST. VINCENT'S HOSPITAL |
Other Organization Name | GADSDEN MAMMOGRAPHY SCREENING |
Practice Address |
105 Church St Rainbow City AL 35906-6242 |
Mailing Address |
810 Saint Vincents Dr Birmingham AL 35205-1601 |
Practice Telephone | 2053148834 |
Mailing Telephone | 2053148834 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2017-09-06 |
Authorized Official Name | BRANDON WILLIAMS (CFO) |
Authorized Official Telephone | 2058383718 |
Is Organization Subpart | Y |
Parent Organization Name | ST. VINCENT'S HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | MEDICARE PART B BILLING | K591 | 01 |
Other Name | Type Code |
---|---|
Gadsden Mammography Screening | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306163381 | St. Vincent's Hospital | Psychiatric Hospital | 136 Hicks St, Apt 2c, Brooklyn, NY 11201-2366 | 2010-04-29 |
1518107119 | St. Vincent's Hospital | Psychiatry & Neurology | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2009-02-23 |
1255587663 | St. Vincent's Hospital | Rehabilitation Hospital | 275 North St, Harrison, NY 10528-1524 | 2008-08-18 |
1245375963 | St. Vincent's Hospital | Pharmacy | 810 Saint Vincents Dr, Suite 105, Birmingham, AL 35205-1601 | 2007-02-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ST. VINCENT'S HOSPITAL (MELBOURNE) LIMITED | 41 Victoria Pde, Fitzroy, VIC 3065, AUS |
System for Award Management (SAM) Entities | ST. VINCENT'S HOSPITAL SYDNEY LIMITED | 390 Victoria St, Darlinghurst, NSW 2010, AUS |
Street Address |
105 CHURCH ST |
City | RAINBOW CITY |
State | AL |
Zip Code | 35906-6242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780684746 | Phillip W Gramling | Counselor | 105 Church St, Suite B, Rainbow City, AL 35906-6242 | 2005-07-29 |
1043786288 | Crbailey Medical LLC | Clinic/Center | 105 Church St, Rainbow City, AL 35906-6242 | 2018-10-15 |
1891200903 | Tekeisha Goggins | Social Worker | 105 Church St, Rainbow City, AL 35906-6242 | 2017-12-12 |
1689111361 | Counseling & Consulting, LLC | Counselor | 105 Church St, Suite B, Rainbow City, AL 35906-6242 | 2017-01-19 |
1720494438 | Psychology, Consulting, & Evaluations, LLC | Community/Behavioral Health | 105 Church St, Suite B, Office 4, Rainbow City, AL 35906-6242 | 2014-07-02 |
1518256007 | Michael David Gross | Nurse Practitioner | 105 Church St, Rainbow City, AL 35906-6242 | 2011-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720563026 | Alabama Home Health Care Providers, Inc | Registered Nurse | 3542 Rainbow Drive, Rainbow City, AL 35906 | 2018-10-02 |
1578061271 | Restoring Hope Professional Counseling, LLC | Counselor | 3224 Rainbow Drive, Suite 4, Rainbow City, AL 35906 | 2018-01-28 |
1881888527 | April R. King | Optometrist | 115 W Grand Ave Ste 120, Rainbow City, AL 35906 | 2007-09-05 |
1609960269 | Sheila Prince Raines | Pharmacist | 3331 Rainbow Drive, Rainbow City, AL 35906 | 2006-10-03 |
1447365721 | Alabama Family Foot Clinic PC | Podiatrist | 107 Church Street, Rainbow City, AL 35906 | 2006-08-20 |
1740218890 | Regina K. Phillips | Family Medicine | 113 Rainbow Industrial Blvd, Suite B, Rainbow City, AL 35906 | 2006-06-29 |
1689610727 | Myrtell Lorraine Cantrell | Physician Assistant | 99 Boyd Place, Rainbow City, AL 35906 | 2006-06-20 |
1720060247 | Thomas Kevin Lackey | Anesthesiology | 3804 Rainbow Dr, Rainbow City, AL 35906 | 2005-11-18 |
1750792024 | Camellia Hospice of Northeast Alabama, LLC | Hospice Care, Community Based | 101 Church St, Rainbow City, AL 35906 | 2014-05-08 |
1003380668 | Kimberly Crawford | Speech-Language Pathologist | 3803 Rainbow Dr, Rainbow City, AL 35906-3025 | 2019-01-17 |
Find all providers in zip 35906 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912430158 | Medical Device and Billing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7201 Halcyon Summit Dr, Montgomery, AL 36117-3502 | 2017-04-05 |
1649677436 | Kevin Snyder | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30466 Sgt E I Boots Thomas Dr, Suite 206a, Spanish Fort, AL 36527-7630 | 2014-11-23 |
1326384306 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-20 |
1265450282 | Massvax Travel Clinic L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 113 Parkside Dr, Headland, AL 36345-1520 | 2006-07-17 |
1295712149 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 512 Montgomery Hwy, Suite 200, Birmingham, AL 35216-1843 | 2005-12-30 |
1811988462 | Southern Radiology Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 300 Cahaba Valley Cir, Pelham, AL 35124-1148 | 2005-11-02 |
1558743120 | Xraymobile | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30466 Sgt E I Boots Thomas Dr, Suite 206a, Spanish Fort, AL 36527-7630 | 2015-06-19 |
1609111467 | Healthscan Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2525 Bell Rd, Montgomery, AL 36117-4369 | 2012-12-05 |
1164790861 | Vuepoint Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4268 Cahaba Heights Ct, Suite 102, Vestavia, AL 35243-5711 | 2011-12-08 |
1700175411 | Eddie Lee Ayers | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1860 Us Highway 43, Winfield, AL 35594-5062 | 2011-04-04 |
Find all providers with the same taxonomy |
City | RAINBOW CITY |
Zip Code | 35906 |
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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.