ATTENTUS MOULTON LLC (NPI# 1134530801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134530801 |
| Entity Type | Organization |
| Organization Name | ATTENTUS MOULTON LLC |
| Other Organization Name | LAWRENCE MEDICAL CENTER SWING BED |
| Practice Address |
202 Hospital St Moulton AL 35650-1218 |
| Practice Telephone | 2569742206 |
| Practice Fax Number | 2569742205 |
| Mailing Telephone | 2569742206 |
| Mailing Fax Number | 2569742205 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |
| Authorized Official Name | MR. BOBBY G DOVER (TREASURER/BOARD MEMBER) |
| Authorized Official Telephone | 2569748839 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATTENTUS MOULTON LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 10583 | AL | Hospital Units |
| Other Name | Type Code |
|---|---|
| Lawrence Medical Center Swing Bed | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972862837 | Attentus Moulton LLC | Clinic/Center | 10939 Al Highway 157, Suite C, Moulton, AL 35650-1900 | 2012-05-14 |
| Street Address |
202 HOSPITAL ST |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568453389 | Attentus Moulton, LLC | General Acute Care Hospital | 202 Hospital St, Moulton, AL 35650-1218 | 2005-11-01 |
| 1174968572 | Attentus Moulton, LLC | Nurse Anesthetist, Certified Registered | 202 Hospital St, Moulton, AL 35650-1218 | 2013-04-30 |
| 1700135720 | Performance Anesthesia Inc | Nurse Anesthetist, Certified Registered | 202 Hospital St, Moulton, AL 35650-1218 | 2012-09-05 |
| 1144502402 | Warrior Mountain Emergency Physicians LLC | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2011-09-13 |
| 1164618039 | Tuckier Surgical Clinic | Surgery | 202 Hospital St, Moulton, AL 35650-1218 | 2007-09-24 |
| 1881811222 | Lawrence Emergency Group LLC | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2007-04-19 |
| 1346282282 | Larry Glen Stephens | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2006-06-12 |
| 1366480774 | Adeniyi Faruk Koiki | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2006-06-04 |
| 1679523757 | Rex C Tuckier | Surgery | 202 Hospital St, Moulton, AL 35650-1218 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477835825 | United Florala, Inc | Medicare Defined Swing Bed Unit | 24273 Fifth Avenue, Florala, AL 36442 | 2011-09-12 |
| 1750480406 | Crenshaw County Health Care Authority | Medicare Defined Swing Bed Unit | 101 Hospital Cir, Luverne, AL 36049-7329 | 2006-09-21 |
| 1255959144 | Fort Payne Hospital Corporation | Medicare Defined Swing Bed Unit | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2020-07-08 |
| 1114548930 | Geneva County Healthcare Authority, Inc. | Medicare Defined Swing Bed Unit | 1200 W Maple Ave, Geneva, AL 36340-1642 | 2020-05-04 |
| 1962056143 | Mizell Memorial Hospital | Medicare Defined Swing Bed Unit | 702 N Main St, Opp, AL 36467-1626 | 2019-07-26 |
| 1659868297 | Floyd Cherokee Medical Center LLC | Medicare Defined Swing Bed Unit | 400 Northwood Dr, Centre, AL 35960-1023 | 2018-04-19 |
| 1801309711 | The Health Care Authority of The City of Eufaula | Medicare Defined Swing Bed Unit | 820 W Washington St, Eufaula, AL 36027-1822 | 2017-11-14 |
| 1821511866 | St. Vincent's St. Clair, LLC | Medicare Defined Swing Bed Unit | 7063 Veterans Pkwy, Pell City, AL 35125-5114 | 2017-07-21 |
| 1447772751 | Tanner Medical Center Alabama Inc | Medicare Defined Swing Bed Unit | 1032 Main St South, Wedowee, AL 36278-5139 | 2017-07-10 |
| 1083157275 | Qhg of Enterprise Inc | Medicare Defined Swing Bed Unit | 400 N Edwards St, Enterprise, AL 36330-2510 | 2016-11-21 |
| 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.