CRENSHAW COUNTY HEALTH CARE AUTHORITY


Address: 58 Roy Beall Dr, Luverne, AL 36049-6800
Phone: 3343351212

CRENSHAW COUNTY HEALTH CARE AUTHORITY (NPI# 1194811901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194811901
Entity Type Organization
Organization Name CRENSHAW COUNTY HEALTH CARE AUTHORITY
Other Organization Name CRENSHAW FAMILY CARE CENTER
Practice Address 58 Roy Beall Dr
Luverne
AL 36049-6800
Mailing Address 101 Hospital Circle
Luverne
AL 36049-7344
Practice Telephone 3343351212
Practice Fax Number 3343351217
Mailing Telephone 3343353374
Mailing Fax Number 3343351119
Enumeration Date 2006-10-05
Last Update Date 2020-07-20
Authorized Official Name MICHAEL ANDREW KIMBRO (AUTHORIZED OFFICIAL)
Authorized Official Telephone 3343353374
Is Organization Subpart Y
Parent Organization Name CRENSHAW COUNTY HEALTH CARE AUTHORITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AL BC PROVIDER NUMBER 051518337 01
AL 540003411 05

Other Provider/Organization Names

Other Name Type Code
Crenshaw Family Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750480406 Crenshaw County Health Care Authority Medicare Defined Swing Bed Unit 101 Hospital Cir, Luverne, AL 36049-7329 2006-09-21
1154515591 Crenshaw County Health Care Authority Psychiatric Unit 101 Hospital Cir, Luverne, AL 36049-7329 2007-08-29
1851487656 Crenshaw County Health Care Authority Home Health 101 Hospital Cir, Luverne, AL 36049-7329 2006-10-05

Office Location

Street Address 58 ROY BEALL DR
City LUVERNE
State AL
Zip Code 36049-6800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003868779 Handes of A Woman Surgery 58 Roy Beall Dr, Luverne, AL 36049-6800 2006-05-17
1699241042 Janet D Pouncy Nurse Practitioner 58 Roy Beall Dr, Luverne, AL 36049-6800 2018-10-23
1194092478 Crenshaw Family Care Center, LLC Pediatrics 58 Roy Beall Dr, Luverne, AL 36049-6800 2011-11-30
1154606861 Crenshaw Family Care Center, LLC Obstetrics & Gynecology 58 Roy Beall Dr, Luverne, AL 36049-6800 2011-10-13
1306120910 Melissa Mikul Physician Assistant 58 Roy Beall Dr, Luverne, AL 36049-6800 2011-09-30
1285934315 Crenshaw Family Care Center LLC Obstetrics & Gynecology 58 Roy Beall Dr, Luverne, AL 36049-6800 2010-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841711918 Cherokee Community Dialysis, LLC Clinic/Center 485 Northwood Drive, Centre, AL 36049 2017-06-29
1184171761 Ayida Cumberland Counselor 8 South Place Drive, # D3, Luverne, AL 36049 2016-09-01
1376851162 State of Alabama Department of Public Health Nurse Practitioner 15 Hospital Rd., Crenshaw Co. Health Dept, Luverne, AL 36049 2010-09-15
1720270697 Professional Resources Management Psychiatric Services, LLC Psychiatric Hospital 150 Hospital Drive, Luverne, AL 36049 2007-08-15
1194800706 Crenshaw Drugs Inc Durable Medical Equipment & Medical Supplies 1440 S Forest Ave, Luverne, AL 36049 2006-10-25
1477649705 James Thomas Sanders Dentist 1666 S Forest Ave, Luverne, AL 36049 2006-10-05
1568631992 State of Alabama Public Health or Welfare Highway 331 South, Luverne, AL 36049-0151 2008-02-29
1780646307 Hometown Medical Equipment Inc Durable Medical Equipment & Medical Supplies 80 N Forest Ave, Luverne, AL 36049-1133 2006-04-06
1457308066 Luverne Health and Rehabilitation, LLC Skilled Nursing Facility 142 W 3rd St, Luverne, AL 36049-1348 2006-05-28
1023247129 Sheena Torial Hill Occupational Therapist 142 W 3rd St, Luverne, AL 36049-1348 2009-07-09
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City LUVERNE
Zip Code 36049

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Dataset Information

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.

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