CORRECTIONAL MEDICAL SERVICES (NPI# 1164625968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164625968 |
| Entity Type | Organization |
| Organization Name | CORRECTIONAL MEDICAL SERVICES |
| Practice Address |
1000 Saint Clair Rd Springville AL 35146-5582 |
| Mailing Address |
528 Birch St Trussville AL 35173-1405 |
| Practice Telephone | 2054676111 |
| Practice Fax Number | 2054676738 |
| Mailing Telephone | 8502554927 |
| Mailing Fax Number | 2054676738 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | DR. DELANO ROGER BENJAMIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2054676111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
24889 | AL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093946709 | Correctional Medical Services | Clinic/Center | 7943 Brock Bridge Rd, Jessup, MD 20794-9704 | 2009-07-29 |
| Street Address |
1000 SAINT CLAIR RD |
| City | SPRINGVILLE |
| State | AL |
| Zip Code | 35146-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821184334 | Walter W Wilson | Family Medicine | 1000 Saint Clair Rd, Springville, AL 35146-5582 | 2006-10-04 |
| 1104467356 | Hannah Mcclellan Brooks | Nurse Practitioner | 1000 Saint Clair Rd, Springville, AL 35146-5585 | 2019-09-30 |
| 1811430275 | Justin Oden | Nurse Practitioner | 1000 Saint Clair Rd, Springville, AL 35146-5582 | 2016-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730618141 | Perry Cancilla | Specialist/Technologist | 173 Crandall Drive, Springville, AL 35146 | 2017-06-08 |
| 1508394578 | Kathryn Clairena Stanton | Pharmacist | 160 Springville Station Blvd, Springville, AL 35146 | 2017-06-02 |
| 1588058317 | Vision Alabama LLC | Optometrist | 100 Legacy Park Way, Springville, AL 35146 | 2015-03-18 |
| 1548664055 | Northeast Alabama Dental, PC | Dentist | 106 Legacy Park Way, Springville, AL 35146 | 2014-10-13 |
| 1356682173 | Monica M Chadwick | Nurse Practitioner | 350 Springville Station Blvd, Springville, AL 35146 | 2013-03-04 |
| 1689855413 | Ivey Davis Rutledge | Dentist | 6324 Us Hwy 11, Springville, AL 35146 | 2007-11-20 |
| 1467514687 | Barry J Mccleney | Family Medicine | 5718 Us Hwy 11, Springville, AL 35146 | 2006-12-14 |
| 1093805145 | Wal-mart Stores East, Lp | Technician/Technologist | 160 Springville Station Blvd., Springville, AL 35146 | 2006-10-12 |
| 1689187080 | Springville Pediatrics LLC | Clinic/Center | 350 Springville Station Blvd, Springville, AL 35146 | 2017-11-08 |
| 1790953461 | Back In Motion Physical Therapy LLC | Clinic/Center | 6460 Us Highway 11, Springville, AL 35146 | 2008-02-15 |
| Find all providers in zip 35146 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689187080 | Springville Pediatrics LLC | Clinic/Center | 350 Springville Station Blvd, Springville, AL 35146 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1952952541 | Pediatric Associates of Alexander City PC | Clinic/Center | 21 Coosa County Road 50, Kellyton, AL 35089-1900 | 2019-09-25 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1487123915 | Physicians Care of Camden LLC | Clinic/Center | 24b Camden Byp, Camden, AL 36726-1770 | 2018-11-14 |
| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
| 1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
| 1568915106 | Physicians Care of Grove Hill LLC | Clinic/Center | 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 | 2016-08-01 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
| 1396125258 | D W Mcmillan Memorial Hospital | Clinic/Center | 1674 Cleveland Ave, Castleberry, AL 36432 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 35146 |
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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.