ATTENTUS MOULTON, LLC (NPI# 1568453389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568453389 |
| Entity Type | Organization |
| Organization Name | ATTENTUS MOULTON, LLC |
| Other Organization Name | LAWRENCE MEDICAL CENTER |
| Practice Address |
202 Hospital St Moulton AL 35650-1218 |
| Mailing Address |
Po Box 39 Moulton AL 35650-0039 |
| Practice Telephone | 2569742206 |
| Practice Fax Number | 2569742205 |
| Mailing Telephone | 2569742200 |
| Mailing Fax Number | 2569742299 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2016-04-15 |
| Authorized Official Name | MR. DEAN GRIFFIN (CEO) |
| Authorized Official Telephone | 2569742286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 11134 | AL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | HOS0059H | 05 | |
| AL | BLUE CROSS OF ALABAMA | 010102 | 01 |
| Other Name | Type Code |
|---|---|
| Lawrence Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033155791 | Attentus Moulton, LLC | Clinic/Center | 350 Tennessee Street, Courtland, AL 35618 | 2006-06-21 |
| 1124062286 | Attentus Moulton, LLC | Clinic/Center | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2006-06-16 |
| 1760930200 | Attentus Moulton, LLC | Clinic/Center | 40 Medical Cir, Moulton, AL 35650-1256 | 2016-09-13 |
| 1699194308 | Attentus Moulton, LLC | Clinic/Center | 94 Medical Cir, Moulton, AL 35650-1256 | 2014-04-09 |
| 1174968572 | Attentus Moulton, LLC | Nurse Anesthetist, Certified Registered | 202 Hospital St, Moulton, AL 35650-1218 | 2013-04-30 |
| Street Address |
202 HOSPITAL ST |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134530801 | Attentus Moulton LLC | Medicare Defined Swing Bed Unit | 202 Hospital St, Moulton, AL 35650-1218 | 2014-05-15 |
| 1174968572 | Attentus Moulton, LLC | Nurse Anesthetist, Certified Registered | 202 Hospital St, Moulton, AL 35650-1218 | 2013-04-30 |
| 1700135720 | Performance Anesthesia Inc | Nurse Anesthetist, Certified Registered | 202 Hospital St, Moulton, AL 35650-1218 | 2012-09-05 |
| 1144502402 | Warrior Mountain Emergency Physicians LLC | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2011-09-13 |
| 1164618039 | Tuckier Surgical Clinic | Surgery | 202 Hospital St, Moulton, AL 35650-1218 | 2007-09-24 |
| 1881811222 | Lawrence Emergency Group LLC | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2007-04-19 |
| 1346282282 | Larry Glen Stephens | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2006-06-12 |
| 1366480774 | Adeniyi Faruk Koiki | Emergency Medicine | 202 Hospital St, Moulton, AL 35650-1218 | 2006-06-04 |
| 1679523757 | Rex C Tuckier | Surgery | 202 Hospital St, Moulton, AL 35650-1218 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609311000 | Mobile Infirmary Association | General Acute Care Hospital | 1721 Spring Hill Ave, Mobile, AL 36604-1402 | 2016-12-21 |
| 1518349448 | Baptist Health | General Acute Care Hospital | 109 Bowen Bnd, Wetumpka, AL 36093-2592 | 2015-06-27 |
| 1497162085 | Belinda Beaver | General Acute Care Hospital | 25627 Lakeland Dr, Loxley, AL 36551-7453 | 2014-07-16 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1346684008 | University of Alabama At Birmingham Hospital | General Acute Care Hospital | Fot 1034 1530 3rd Ave S, Birmingham, AL 35294-3410 | 2013-04-24 |
| 1528311271 | Univ. of Alabama Birmingham Hospital | General Acute Care Hospital | 510 20th St. So (fot-1164), Uab, Plastic Surgery, Birmingham, AL 35294-3411 | 2012-10-18 |
| 1588928618 | Princeton Baptist Medical Center | General Acute Care Hospital | 187 Lorrin Ln, Sterrett, AL 35147-9528 | 2012-07-04 |
| 1043585680 | Uahsf | General Acute Care Hospital | 914 Medical Education Building 1813 6th Ave S, Birmingham, AL 35294-0001 | 2012-03-15 |
| 1598052219 | University of Alabama At Birmingham Hospital | General Acute Care Hospital | 510 20th St S # Fot1020, Birmingham, AL 35233-2028 | 2011-07-01 |
| 1023311644 | University of Alabama At Birmingham | General Acute Care Hospital | Fot 930, 1530 3rd Ave S, Birmingham, AL 35294-0019 | 2010-12-21 |
| 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.