FORREST AVE MEDICAL CLINIC, LLC (NPI# 1629549068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629549068 |
Entity Type | Organization |
Organization Name | FORREST AVE MEDICAL CLINIC, LLC |
Practice Address |
1016 Forrest Ave Gadsden AL 35901-3540 |
Practice Telephone | 2565495002 |
Practice Fax Number | 2565495003 |
Mailing Telephone | 2565495002 |
Mailing Fax Number | 2565495003 |
Enumeration Date | 2018-12-11 |
Last Update Date | 2018-12-11 |
Authorized Official Name | DR. JANIE T TESCHNER (OWNER) |
Authorized Official Telephone | 2563933009 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 127451 | 05 |
Street Address |
1016 FORREST AVE |
City | GADSDEN |
State | AL |
Zip Code | 35901-3540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649388919 | Nutrition Choices, LLC | Dietitian, Registered | 1016 Forrest Ave, Suite II, Gadsden, AL 35901-3540 | 2006-08-28 |
1851699110 | Mercy Medical Clinic, LLC | Clinic/Center | 1016 Forrest Ave, Gadsden, AL 35901-3540 | 2011-03-09 |
1215231170 | Janie Teresa Teschner | General Practice | 1016 Forrest Ave, Gadsden, AL 35901-3540 | 2011-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
Find all providers in zip 35901 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952855017 | Mdc Holding Enterprise | Clinic/Center | 1039 Forrest Ave, Gadsden, AL 35901-3539 | 2016-08-06 |
1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
1851699110 | Mercy Medical Clinic, LLC | Clinic/Center | 1016 Forrest Ave, Gadsden, AL 35901-3540 | 2011-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891316758 | Modern Health Family Care Practice | Clinic/Center | 13000 Cottonwood Rd, Cottonwood, AL 36320-4280 | 2020-05-01 |
1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
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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.