HEALTHSOURCE OF HUNTSVILLE, LLC (NPI# 1609209253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609209253 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF HUNTSVILLE, LLC |
| Practice Address |
975 Airport Rd Sw Suite H Huntsville AL 35802-1392 |
| Practice Telephone | 2569293918 |
| Mailing Telephone | 2569293918 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | DR. SARAH S JACOBS (MANAGING MEMBER) |
| Authorized Official Telephone | 2569293918 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 2227 | AL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | INDIVIDUAL NPI | 1417146143 | 01 |
| Street Address |
975 AIRPORT RD SW SUITE H |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750753398 | Everett Tucker | Chiropractor | 975 Airport Rd Sw, Suite H, Huntsville, AL 35802-1392 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679839328 | Kenneth E. Pitts, Md, PC | Preferred Provider Organization | 185 Whitesport Dr Sw Ste 4, Huntsville, AL 35801-6487 | 2012-04-06 |
| 1477830768 | Ahelmsdmdpc | Preferred Provider Organization | 2306 Starmount Cir Sw, Huntsville, AL 35801-3816 | 2011-11-15 |
| 1902832447 | Vascular Surgery Associates | Preferred Provider Organization | 201 Sivley Rd Sw, Suite 305, Huntsville, AL 35801 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639523798 | Elite Physical Therapy and Wellness Center, Inc | Preferred Provider Organization | 1404 S Brundidge St, Troy, AL 36081-3129 | 2016-04-14 |
| 1114321643 | Marble City Pediatric Dentistry | Preferred Provider Organization | 1039 W Fort Williams St, Sylacauga, AL 35150-2301 | 2014-10-13 |
| 1093122533 | Noahs Ark Child & Family Treatment Center Inc | Preferred Provider Organization | 1728 5th Ave N, Birmingham, AL 35203-2023 | 2014-07-16 |
| 1932510005 | Robert J. Howard D.m.d., P.C. | Preferred Provider Organization | 705 S George Wallace Dr, Troy, AL 36081-3824 | 2014-05-12 |
| 1407266729 | Precise Family Dental, LLC | Preferred Provider Organization | 23730 John T Reid Pkwy, Suite C, Scottsboro, AL 35768-2839 | 2014-05-08 |
| 1003150160 | Imaging Network Group, Inc. | Preferred Provider Organization | 26831 Canal Rd Ste 7, Orange Beach, AL 36561-4125 | 2012-11-15 |
| 1083966386 | Kenneth W Chancey Dmd LLC | Preferred Provider Organization | 534 Boll Weevil Cir, Enterprise, AL 36330-4012 | 2012-10-10 |
| 1952667123 | Jones Family Services | Preferred Provider Organization | 47 Queen Dr, Columbiana, AL 35051-4082 | 2012-04-02 |
| 1629354162 | Tammy Davis Parks | Preferred Provider Organization | 1820 3rd Ave N, Ste. 106, Bessemer, AL 35020-4903 | 2011-10-28 |
| 1386948040 | Bodalia Rehab Services, Inc | Preferred Provider Organization | 1721 N Bunner St, Foley, AL 36535-2229 | 2011-01-10 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
Please comment or provide details below to improve the information on HEALTHSOURCE OF HUNTSVILLE, LLC.
| 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.