DALRAIDA CLINIC (NPI# 1164910543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164910543 |
| Entity Type | Organization |
| Organization Name | DALRAIDA CLINIC |
| Practice Address |
4135 Atlanta Hwy Montgomery AL 36109-3022 |
| Practice Telephone | 3346471444 |
| Practice Fax Number | 3346471404 |
| Mailing Telephone | 3346471444 |
| Mailing Fax Number | 3346471404 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | EUGENE ROMANO (OFFICE MANAGER) |
| Authorized Official Telephone | 3342074466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2018 | AL | Ambulatory Health Care Facilities |
| Street Address |
4135 ATLANTA HWY |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36109-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760490411 | Richard A Stehl | General Practice | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2006-08-04 |
| 1811468945 | Tammie Ruth Washington | Nurse Practitioner | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2018-12-16 |
| 1154709699 | Elizabeth Yougene Cronier | Nurse Practitioner | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2015-05-18 |
| 1932535556 | Hoover Radiology, LLC | Radiology | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2013-09-16 |
| 1578835542 | Hart Chiropractic LLC | Clinic/Center | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2012-02-06 |
| 1497997670 | Bar-vic Medical Holdings, LLC | Radiology | 4135 Atlanta Hwy, Suite C, Montgomery, AL 36109-3022 | 2009-04-02 |
| 1578695169 | R W Barnett Radiology Pllc | Radiology | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2007-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
| 1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
| Find all providers in zip 36109 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407416670 | T Blenden Counseling and Consulting | Clinic/Center | 15018 Walden Rd, Montgomery, TX 77356-8565 | 2019-06-19 |
| 1659727667 | Cure-tex Clinic | Clinic/Center | 321 Bayshore Dr, Montgomery, TX 77356-4738 | 2016-05-09 |
| 1164890216 | King Chiropractic Inc | Clinic/Center | 2900 Zelda Rd Ste A, Montgomery, AL 36106-2608 | 2015-09-07 |
| 1053545087 | Continetal Holdings | Clinic/Center | 2921 Marti Ln Ste 7, Montgomery, AL 36116-3120 | 2009-05-05 |
| 1528231388 | Prairie Creek Clinic | Clinic/Center | Rr 1 Box 216, Montgomery, IN 47558-9733 | 2008-04-11 |
| 1821283557 | Dr. Geoffrey A. Iverson, D.d.s., Ltd. | Clinic/Center | 223 1st St S, Montgomery, MN 56069-1601 | 2007-09-06 |
| 1568560696 | Kidney Counselor,llc | Clinic/Center | 4163 Lomac St, Montgomery, AL 36106-2881 | 2006-09-20 |
| 1972518736 | Advanced Orthopedic Surgical Specialists | Clinic/Center | 1329 Mulberry St, Montgomery, AL 36106-1132 | 2006-07-30 |
| 1720527997 | Wilnadia Rawls | Clinic/Center | 34 Taylor Rd N, Montgomery, AL 36117-6753 | 2017-02-21 |
| 1093068900 | Stewart H Tankersley, Md, LLC | Clinic/Center | 1758 Park Pl, Suite 200, Montgomery, AL 36106-1127 | 2012-10-17 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36109 |
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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.