COOSA VALLEY EQUINE CENTER, P. C. (NPI# 1427217975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427217975 |
Entity Type | Organization |
Organization Name | COOSA VALLEY EQUINE CENTER, P. C. |
Other Organization Name | COOSA VALLEY EQUINE |
Practice Address |
1330 Mineral Springs Rd Pell City AL 35125-3424 |
Practice Telephone | 2053381111 |
Practice Fax Number | 2053383242 |
Mailing Telephone | 2053381111 |
Mailing Fax Number | 2053383242 |
Enumeration Date | 2008-06-09 |
Last Update Date | 2008-06-09 |
Authorized Official Name | EDWARD FOUST MURRAY JR. (OWNER) |
Authorized Official Telephone | 2053381111 |
Authorized Official Credential | D.V.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174M00000X | Veterinarian | 2327 | AL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | DEA | AM5682530 | 01 |
AL | STATE LICENSE# | 2327 | 01 |
Other Name | Type Code |
---|---|
Coosa Valley Equine | Other Name - Individual/Organization |
Street Address |
1330 MINERAL SPRINGS RD |
City | PELL CITY |
State | AL |
Zip Code | 35125-3424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629507082 | Christoph Scott Koogler | Pharmacist | 165 Vaughn Lane, Pell City, AL 35125 | 2017-06-08 |
1104133693 | State of Alabama Department of Public Health | Nurse Practitioner | 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 | 2010-09-07 |
1801918776 | David Timothy Sawyer | Dentist | 402a Cogswell Ave, Pell City, AL 35125 | 2007-04-04 |
1528106341 | Patricia Yvonne Hamilton | Counselor | 1540 Center Point Pkway, Suite 102, Birmingham, AL 35125 | 2007-02-02 |
1316028566 | Glenn Hendrick Magargee | Counselor | 8 16th Street, Pell City, AL 35125 | 2006-10-17 |
1508965633 | Derek Matthew Morris | Pharmacist | 505 Martin Street, Pell City, AL 35125 | 2006-09-22 |
1699882738 | Hasmukh Nagindas Jariwala | Internal Medicine | 2811 Dr John Haynes Dr, Suite 102, Pell City, AL 35125 | 2006-08-24 |
1912914185 | Sara V Thompson | Nurse Practitioner | 70 Plaza Drive, Pell City, AL 35125 | 2006-08-01 |
1972547636 | Elisabeth May Douglass | Physical Therapist | 85 Plaza Drive, Pell City, AL 35125 | 2006-06-15 |
1851376610 | Barry G Collins | Internal Medicine | 7067 Veterans Parkway, Suite 200, Pell City, AL 35125 | 2005-12-14 |
Find all providers in zip 35125 |
Taxonomy Code | 174M00000X |
Grouping | Other Service Providers |
Classification | Veterinarian |
A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487056776 | Charles W. Price | Veterinarian | 1808 S Union Ave, Ozark, AL 36360-2833 | 2014-09-18 |
1356577233 | Kristi W Busby | Veterinarian | 4422 Wetumpka Hwy, Montgomery, AL 36110-2737 | 2009-06-04 |
1649436353 | Roxy J Leslie | Veterinarian | 5500 Cottage Hill Rd, Mobile, AL 36609-4209 | 2008-08-01 |
1144489865 | Bradley Martin Fields | Veterinarian | 6013 Woodrun Ct, Montgomery, AL 36117-5011 | 2008-06-06 |
1083750194 | Robert Grover Shamblin | Veterinarian | 235 Mcfarland Blvd, Northport, AL 35476-3325 | 2007-01-29 |
1669759122 | Robert Racelis | Veterinarian | 34 Hughes Rd, Ste E, Madison, AL 35758-3000 | 2011-11-12 |
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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.