COOPER GREEN MERCY HEALTH SERVICES AUTHORITY AN AFFILIATE OF UAB


Address: 1515 6th Ave S, Birmingham, AL 35233-1601
Phone: 2059303200

COOPER GREEN MERCY HEALTH SERVICES AUTHORITY AN AFFILIATE OF UAB (NPI# 1366073108) 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) 1366073108
Entity Type Organization
Organization Name COOPER GREEN MERCY HEALTH SERVICES AUTHORITY AN AFFILIATE OF UAB
Practice Address 1515 6th Ave S
Birmingham
AL 35233-1601
Practice Telephone 2059303200
Enumeration Date 2020-01-30
Last Update Date 2020-01-30
Authorized Official Name STEVE PAYNE (CFO)
Authorized Official Telephone 2059303200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568081644 Cooper Green Mercy Health Services Authority An Affiliate of Uab Pharmacy 1515 6th Ave S, Birmingham, AL 35233-1601 2020-04-09

Office Location

Street Address 1515 6TH AVE S
City BIRMINGHAM
State AL
Zip Code 35233-1601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043213515 Rasheen Jackson Pharmacist 1515 6th Ave S, Birmingham, AL 35233-1601 2005-05-27
1922613181 Kendall Essig Registered Nurse 1515 6th Ave S, Birmingham, AL 35233-1601 2020-09-14
1568081644 Cooper Green Mercy Health Services Authority An Affiliate of Uab Pharmacy 1515 6th Ave S, Birmingham, AL 35233-1601 2020-04-09
1861944944 Paige Johnson Nurse Practitioner 1515 6th Ave S, Birmingham, AL 35233-1601 2016-10-25
1023426244 Peggy Watson Nurse Practitioner 1515 6th Ave S, Birmingham, AL 35233-1601 2014-07-31
1487092839 Lafayette Tennille Holmes Nurse Practitioner 1515 6th Ave S, Birmingham, AL 35233-1601 2013-06-07
1063857209 Jefferson County Commission Clinic/Center 1515 6th Ave S, Birmingham, AL 35233-1601 2013-05-01
1568806453 Jefferson County Commission Clinic/Center 1515 6th Ave S, Birmingham, AL 35233-1601 2013-04-22
1649613274 Darlene Jones Nurse Practitioner 1515 6th Ave S, Birmingham, AL 35233-1601 2013-04-13
1053654996 Kimberly Ann Wilkerson Pharmacist 1515 6th Ave S, Birmingham, AL 35233-1601 2013-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821605700 Motivity Chiropractic Chiropractor 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 2020-09-25
1477164580 Rebecca Diane Davis Physician Assistant 701 S. 19th St, Lhr 112, Birmingham, AL 35233 2020-08-12
1972136794 Faleh Ali Alshanhrani Student in an Organized Health Care Education/Training Program Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 2020-02-20
1972149128 Jessica Lynne Miller Registered Nurse 1816 6th Ave South, Birmingham, AL 35233 2019-11-22
1881156404 Chalandra Barley Registered Nurse 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 2019-04-02
1255893004 Mia Weitman Neustein Registered Nurse Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 2019-04-02
1457813214 Tabrisha Love Registered Nurse Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 2019-04-02
1356809602 Catherine Mary Verga Occupational Therapist 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 2019-03-06
1649736752 Proton International Alabama, LLC Clinic/Center 400 20th Street South, Birmingham, AL 35233 2019-02-13
1447728910 Eric Jackson Specialist/Technologist 1219 6th Ave S, Birmingham, AL 35233 2018-11-02
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467075358 Shear Pointe Inc Clinic/Center 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 2020-05-26
1366803694 Alabama Neurodiagnostics, LLC Clinic/Center 1 Chase Corporate Dr Ste 400, Office 452, Birmingham, AL 35244-1026 2016-03-15
1639557986 Uab Neurosurgery Clinic/Center 510 20th St S # Fot1038, Birmingham, AL 35233-2028 2015-05-07
1013305556 Birmingham Clinics, LLC Clinic/Center 1608 13th Ave S, 200, Birmingham, AL 35205-5524 2015-01-07
1518135755 Cccarter,od and Associates,pc Clinic/Center 2537 Arlington Cres, Birmingham, AL 35205-4105 2008-02-11
1053404723 Auburn University Clinic/Center 100 Centerview Drive, Suite 210, Birmingham, AL 35209 2006-10-02
1861962284 Chiropractic Health Partners LLC Clinic/Center 1705 Center Point Pkwy, Birmingham, AL 35215-5505 2018-11-28
1073003745 Corelife Inc Clinic/Center 4500 Montevallo Rd, Suite D108, Birmingham, AL 35210 2018-05-17
1710492384 Carey Medical Center Inc Clinic/Center 500 Corporate Pkwy, Birmingham, AL 35242-2932 2017-12-05
1679094957 Alexis Suttles Clinic/Center 5892 Trussville Crossing Pkwy, Birmingham, AL 35235 2017-06-27
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Competitor

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City BIRMINGHAM
Zip Code 35233

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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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