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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BC PROVIDER NUMBER | 051518337 | 01 |
AL | 540003411 | 05 |
Other Name | Type Code |
---|---|
Crenshaw Family Care Center | Doing Business As Name - Organization |
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 |
Street Address |
58 ROY BEALL DR |
City | LUVERNE |
State | AL |
Zip Code | 36049-6800 |
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 |
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 |
Find all providers in zip 36049 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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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 |
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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.