RUSH HOSPITAL/BUTLER, INC. (NPI# 1275050189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275050189 |
| Entity Type | Organization |
| Organization Name | RUSH HOSPITAL/BUTLER, INC. |
| Other Organization Name | GILBERTOWN FAMILY MEDICAL CLINIC |
| Practice Address |
12731 Highway 17 Gilbertown AL 36908 |
| Mailing Address |
Po Box 908 Meridian MS 39302-0908 |
| Practice Telephone | 2518432887 |
| Practice Fax Number | 2518432535 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | DON LARKIN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 6017039614 |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSH HOSPITAL/BUTLER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gilbertown Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861830135 | Rush Hospital/butler, Inc. | Clinic/Center | 1 Independence Sq Ste 1c, Butler, AL 36904-2638 | 2013-06-10 |
| 1184993727 | Rush Hospital/butler, Inc. | General Acute Care Hospital | 401 Vanity Fair Lane, Butler, AL 36904 | 2011-12-28 |
| 1013355106 | Rush Hospital/butler, Inc. | Clinic/Center | 1404 E Pushmataha St, Butler, AL 36904-2728 | 2013-06-11 |
| 1811268410 | Rush Hospital/butler, Inc. | Medicare Defined Swing Bed Unit | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RUSH HOSPITAL/BUTLER, INC. | 1314 19th Ave, Meridian, MS 39301-4116 |
| Street Address |
12731 HIGHWAY 17 |
| City | GILBERTOWN |
| State | AL |
| Zip Code | 36908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417983180 | Daniel Lee Armistead | Emergency Medicine | 12731 Highway 17, Gilbertown, AL 36908-5229 | 2006-06-24 |
| 1023257276 | Mississippi Homecare of Meridian, LLC | Home Health | 12731 Highway 17, Suite 5, Gilbertown, AL 36908-5229 | 2009-02-11 |
| 1891825246 | Medical Foundation, Inc. | Family Medicine | 12731 Highway 17, Gilbertown, AL 36908-5229 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801831938 | Alexander C. Coleman | Dentist | 140 Front St Suite # 4, Gilbertown, AL 36908 | 2006-06-20 |
| 1104860428 | Legacy Hospice of The East, Lllp | Hospice Care, Community Based | 5628 Barrytown Road, Suite 1, Gilbertown, AL 36908 | 2006-06-16 |
| 1760443089 | Seba Mazumder | Family Medicine | 140 Front St Suite #4, Gilbertown, AL 36908 | 2006-03-28 |
| 1093775918 | Franklin Primary Health Center, Inc. | Optometrist | 140 Front Street, Suite 4, Gilbertown, AL 36908 | 2006-03-24 |
| 1407035595 | Daystar Hospice Care LLC | Hospice Care, Community Based | 95 West Main Street, Suite 3, Gilbertown, AL 36908-2020 | 2007-10-25 |
| 1598208480 | Valerie Long | Pharmacist | 69 W Main St, Gilbertown, AL 36908-2045 | 2016-11-23 |
| 1467694950 | Hometown Pharmacy | Pharmacy | 69 W Main St, Gilbertown, AL 36908-2045 | 2009-03-30 |
| 1821362013 | Marcus Banks | Non-emergency Medical Transport (VAN) | 7053 Melvin Rd, Gilbertown, AL 36908-5131 | 2012-03-06 |
| 1518378702 | First Choice Home Care | In Home Supportive Care | 6210 Melvin Rd, Gilbertown, AL 36908-5198 | 2014-05-11 |
| 1386075927 | Homestead Hospice of Southwest Alabama, LLC | Hospice Care, Community Based | 13456 Choctaw Ave, Gilbertown, AL 36908-9502 | 2013-12-09 |
| Find all providers in zip 36908 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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 | GILBERTOWN |
| Zip Code | 36908 |
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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.