CHILDRENS MEDICAL CENTER (NPI# 1629238456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629238456 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MEDICAL CENTER |
| Other Organization Name | PHILLIP M PHILLIPS JR MD |
| Practice Address |
1800 Rice Mine Rd N Tuscaloosa AL 35406-2383 |
| Practice Telephone | 2053452677 |
| Practice Fax Number | 2053452679 |
| Mailing Telephone | 2053452677 |
| Mailing Fax Number | 2053452679 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | KARLA PUCKETT (INSURANCE) |
| Authorized Official Telephone | 2053452677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 11958 | AL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 558700000 | 05 | |
| AL | 16427 | 05 |
| Other Name | Type Code |
|---|---|
| Phillip M Phillips Jr MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710034376 | Childrens Medical Center | Exclusive Provider Organization | 4651 Sheridan St, Suite 270, Hollywood, FL 33021-3457 | 2007-01-05 |
| 1154485415 | Childrens Medical Center | Specialist | 5488 N Alabama Ave, Omega, GA 31775-3054 | 2006-12-21 |
| 1881763068 | Childrens Medical Center | Specialist | 131 Commonwealth Dr, Suite 310, Greenville, SC 29615-4883 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDRENS MEDICAL CENTER OF TUCSON | 5861 N Oracle Rd, Tucson, AZ 85704-3813 |
| Street Address |
1800 RICE MINE RD N |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406-2383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639225832 | Philip Morgan Phillips Jr. | Pediatrics | 1800 Rice Mine Rd N, Tuscaloosa, AL 35406-2383 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1073663555 | Mark Linden Prohaska | Clinical Neuropsychologist | 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 | 2007-01-10 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| Find all providers in zip 35406 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750369237 | Tuscaloosa V.a. Medical Center | Special Hospital | 3701 Loop Rd, Tuscaloosa Vamc, Tuscaloosa, AL 35404-5015 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265784292 | University of Alabama At Birmingham | Special Hospital | Fot 1164 1720 2 Nd Ave S, Birmingham, AL 35294-3411 | 2012-10-15 |
| 1316507106 | Usa Health Hospital Billing | Special Hospital | 1700 Center St, Mobile, AL 36604-3301 | 2019-06-14 |
| 1518341817 | Central Alabama Veterans Health Care System | Special Hospital | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2015-07-16 |
| 1568638690 | Addiction & Mental Health Services, Inc | Special Hospital | 1600 Browns Ferry Rd, Madison, AL 35758-9601 | 2008-05-08 |
| 1801069885 | Healthcare Authority of Morgan County | Special Hospital | 1201 7th St Se, Decatur, AL 35601-3337 | 2008-04-10 |
| City | TUSCALOOSA |
| Zip Code | 35406 |
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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.