MONTGOMERY CANCER CENTER LLC (NPI# 1144422890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144422890 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY CANCER CENTER LLC |
| Practice Address |
645 Mcqueen Smith Rd N Suite 109 Prattville AL 36066-7268 |
| Mailing Address |
4145 Carmichael Rd Montgomery AL 36106-2803 |
| Practice Telephone | 3343511000 |
| Practice Fax Number | 3343581207 |
| Mailing Telephone | 3342737000 |
| Mailing Fax Number | 3342732386 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | VENTY BUTTS (ADMINISTRATOR) |
| Authorized Official Telephone | 3342737000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2007001584 | AL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447452198 | Montgomery Cancer Center LLC | Durable Medical Equipment & Medical Supplies | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2007-06-04 |
| 1437351186 | Montgomery Cancer Center LLC | Durable Medical Equipment & Medical Supplies | 1023 Medical Center Pkwy, Suite 110, Selma, AL 36701-6780 | 2007-06-04 |
| 1831296672 | Montgomery Cancer Center LLC | Durable Medical Equipment & Medical Supplies | 4145 Carmichael Rd, Ste A, Montgomery, AL 36106-2803 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Montgomery Cancer Center LLC | 3700 S Main St, Blacksburg, Virginia 24060 |
| Street Address |
645 MCQUEEN SMITH RD N SUITE 109 |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-7268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255316667 | Timothy M Meadows | Optometrist | 645 Mcqueen Smith Rd N, Prattville, AL 36066-7268 | 2005-12-08 |
| 1801322474 | Betsy Dell Ellis | Registered Nurse | 645 Mcqueen Smith Rd N, Prattville, AL 36066-7268 | 2017-05-02 |
| 1760890198 | Mia Gentle | Nurse Practitioner | 645 Mcqueen Smith Rd N, Prattville, AL 36066-7268 | 2014-07-29 |
| 1437588928 | Julie Marla Sears | Nurse Practitioner | 645 Mcqueen Smith Rd N, Ste 300, Prattville, AL 36066-7268 | 2013-11-05 |
| 1114362696 | Carolyn Antoinette Allman | Family Medicine | 645 Mcqueen Smith Rd N, Suite 309, Prattville, AL 36066-7268 | 2013-05-09 |
| 1902169808 | Matthew Stephen Burge | Surgery | 645 Mcqueen Smith Rd N, Prattville, AL 36066-7268 | 2012-06-17 |
| 1063772309 | Kristine Aura Ortega-fonte | Family Medicine | 645 Mcqueen Smith Rd N, Suite 309, Prattville, AL 36066-7268 | 2012-05-21 |
| 1588979736 | Katie Jones | Nurse Practitioner | 645 Mcqueen Smith Rd N, Suite 301, Prattville, AL 36066-7268 | 2010-08-12 |
| 1043538002 | Healing Touch Family Care, LLC | Family Medicine | 645 Mcqueen Smith Rd N, Suite 300, Prattville, AL 36066-7268 | 2010-05-14 |
| 1467698209 | Melissa Johnson | Nurse Practitioner | 645 Mcqueen Smith Rd N, Prattville, AL 36066-7268 | 2008-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588108237 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 735 County Road 4 E, Prattville, AL 36067-6613 | 2016-12-15 |
| 1023484011 | Medsurgex LLC | Durable Medical Equipment & Medical Supplies | 1845 Glynwood Dr, Prattville, AL 36066-5584 | 2015-08-13 |
| 1578880167 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 225 N Memorial Dr, Suite #8, Prattville, AL 36067-3344 | 2010-04-23 |
| 1689902462 | Betty V Washington | Durable Medical Equipment & Medical Supplies | 105 Willow Oak Dr, Prattville, AL 36067-2310 | 2009-12-06 |
| 1003065665 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2451 Cobbs Ford Rd, Prattville, AL 36066-7763 | 2008-09-18 |
| 1174731681 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2754 Legends Pkwy, Prattville, AL 36066-7748 | 2007-05-18 |
| 1356563613 | Southern Orthopaedic Surgeons, LLC | Durable Medical Equipment & Medical Supplies | 668 Mcqueen Smith Rd N, Prattville, AL 36066-7511 | 2007-05-03 |
| 1023105665 | Montgomery Drug Company | Durable Medical Equipment & Medical Supplies | 103 S Memorial Dr, Prattville, AL 36067-3621 | 2006-10-06 |
| 1306931050 | Precision Cpap, Inc. | Durable Medical Equipment & Medical Supplies | 2140 Cobbs Ford Rd, Prattville, AL 36066-7700 | 2006-10-04 |
| 1407959141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1840 E Main St, Prattville, AL 36066-5500 | 2006-09-07 |
| Find all providers in PRATTVILLE | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on MONTGOMERY CANCER CENTER 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.