MOBILE PICC SPECIALISTS (NPI# 1568863785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568863785 |
| Entity Type | Organization |
| Organization Name | MOBILE PICC SPECIALISTS |
| Practice Address |
39 Ashwood Rd Butler AL 36904-2860 |
| Practice Telephone | 8885506130 |
| Practice Fax Number | 8885508390 |
| Mailing Telephone | 8885506130 |
| Mailing Fax Number | 8885508390 |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-09-07 |
| Authorized Official Name | MS. JACQUELINE WEBB (PHLEBOTOMY) |
| Authorized Official Telephone | 8885506130 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1-106108 | AL | Nursing & Custodial Care Facilities |
| Street Address |
39 ASHWOOD RD |
| City | BUTLER |
| State | AL |
| Zip Code | 36904-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578048922 | Jacqueline Underwood | Nurse Practitioner | 39 Ashwood Rd, Butler, AL 36904-3690 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184993727 | Rush Hospital/butler, Inc. | General Acute Care Hospital | 401 Vanity Fair Lane, Butler, AL 36904 | 2011-12-28 |
| 1043360233 | Joseph M Moody | Dentist | 505 E Pushmataha Street, Butler, AL 36904 | 2007-01-11 |
| 1811268592 | Rush Hospital/butler,inc | Emergency Medicine | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-26 |
| 1811268410 | Rush Hospital/butler, Inc. | Medicare Defined Swing Bed Unit | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-13 |
| 1487739314 | Louis Keith Guinn | Family Medicine | 315 E Pushmataha St, Butler, AL 36904-0678 | 2006-10-26 |
| 1164859583 | Mustard Seed Companion Care | In Home Supportive Care | 702 Stevens Rd, Butler, AL 36904-2151 | 2013-09-30 |
| 1730111766 | Freds Stores of Tennessee Inc | Pharmacy | 307 N Mulberry Ave, Butler, AL 36904-2203 | 2006-07-07 |
| 1457587404 | Gentiva Certified Healthcare Corp. | Home Health | 114 N Academy Ave, Butler, AL 36904-2206 | 2009-06-04 |
| 1558445999 | Jimmy Cleveland White | Dentist | 123 W Alabama St, Butler, AL 36904-2211 | 2006-10-24 |
| 1962737916 | W Britt Morris, Dmd PC | Dentist | 123 W Alabama St, Butler, AL 36904-2211 | 2009-10-08 |
| Find all providers in zip 36904 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538114848 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 520 W Liberty St, Butler, IN 46721-1063 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998864 | Advance Med | Nursing Facility/Intermediate Care Facility | 117 Rocky Ridge St, Carrollton, AL 35447-2139 | 2017-01-10 |
| 1740552306 | Oakwoods Dream Care Assisted Living Facility LLC. | Nursing Facility/Intermediate Care Facility | 1008 Oakwood Ave Nw, Huntsville, AL 35811-1661 | 2012-01-29 |
| 1609077577 | Rtg Medical | Nursing Facility/Intermediate Care Facility | 400 N Ash Ave, Demopolis, AL 36732-2444 | 2007-05-30 |
| 1861597114 | Jackson County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 47065 Alabama Hwy 277, Bridgeport, AL 35740 | 2006-09-13 |
| 1154380632 | Crowne Health Care of Mobile, LLC | Nursing Facility/Intermediate Care Facility | 954 Navco Rd, Mobile, AL 36605-2413 | 2006-03-22 |
| 1285693762 | Evergreen Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 100 Sanders Dr, Evergreen, AL 36401-3306 | 2006-03-22 |
| 1508825076 | Crowne Health Care of Fort Payne, LLC | Nursing Facility/Intermediate Care Facility | 403 13th St Nw, Fort Payne, AL 35967-3145 | 2006-03-22 |
| 1043279532 | Crowne Health Care of Eufaula, LLC | Nursing Facility/Intermediate Care Facility | 430 Rivers Ave, Eufaula, AL 36027-1820 | 2006-03-22 |
| 1659330132 | Parkwood Health Care Facility, LLC | Nursing Facility/Intermediate Care Facility | 3301 Stadium Dr, Phenix City, AL 36867-3115 | 2006-03-22 |
| 1740249200 | Atmore Nursing Center, LLC | Nursing Facility/Intermediate Care Facility | 715 E Laurel St, Atmore, AL 36502-3113 | 2006-03-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MOBILE PICC SPECIALISTS.
| 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.