SAMFORD UNIVERSITY (NPI# 1699027680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699027680 |
| Entity Type | Organization |
| Organization Name | SAMFORD UNIVERSITY |
| Other Organization Name | SAMFORD UNIVERSITY ATHLETICS |
| Practice Address |
800 Lakeshore Dr Hanna Center, Rm 1105 Birmingham AL 35229-0001 |
| Practice Telephone | 2057262811 |
| Mailing Telephone | 2057262811 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | HENRY B. BROCK III (VP, BUSINESS & FINANCIAL AFFAIRS) |
| Authorized Official Telephone | 2057262811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Samford University Athletics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366828055 | Samford University | Pharmacist | 800 Lakeshore Drive, Birmingham, AL 35229 | 2015-08-04 |
| 1588716021 | Samford University | Clinic/Center | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SAMFORD UNIVERSITY | 800 Lakeshore Dr, Birmingham, AL 35229 |
| Street Address |
800 LAKESHORE DR HANNA CENTER, RM 1105 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35229-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113923 | Ami Teague Shell | Pharmacist | 800 Lakeshore Dr, Mcwhorter School of Pharmacy, Birmingham, AL 35229-0001 | 2005-06-08 |
| 1326658550 | Lauren Hammond Cimino | Pharmacist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2020-08-03 |
| 1811511389 | Demetria Lache Hill | Nurse Practitioner | 800 Lakeshore Dr, Birmingham, AL 35209-6715 | 2020-06-01 |
| 1255968954 | Shannon Kolupaeva | Registered Nurse | 800 Lakeshore Dr, Birmingham, AL 35229-0002 | 2020-03-24 |
| 1013566124 | Matthew R Price | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0002 | 2019-09-11 |
| 1255998191 | Emily Hope Walsh | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2019-05-27 |
| 1417514431 | Anna Bolton | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2019-05-24 |
| 1134786452 | Hannah Marie Turner | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0002 | 2019-05-22 |
| 1295392629 | Nathan Black | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2019-05-21 |
| 1104483536 | Zachary James Phillips | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366828055 | Samford University | Pharmacist | 800 Lakeshore Drive, Birmingham, AL 35229 | 2015-08-04 |
| 1639736333 | Anne Leigh Westbrook | Specialist/Technologist | 800 Lakeshore Dr Pete Hanna Center, Birmingham, AL 35229-0001 | 2019-05-29 |
| 1154869345 | Noelle Vaden | Specialist/Technologist | Samford University, 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2017-02-07 |
| 1386086189 | Darrell Jon Gililland Jr. | Specialist/Technologist | Samford Univeristy, 800 Lakeshore Drive, Birmingham, AL 35229-0001 | 2013-07-22 |
| 1265877005 | Stacy N Farry | Student in an Organized Health Care Education/Training Program | Mcwhorter School of Pharmacy Samford, 800 Lakeshore Drive, Birmingham, AL 35229-0001 | 2013-05-07 |
| 1588009526 | Blaise Koffi Aziagba | Student in an Organized Health Care Education/Training Program | Mcwhorter School of Pharmacy, 800 Lakeshore Drive, Birmingham, AL 35229-0001 | 2013-05-03 |
| 1255461950 | Matthew Charles Knowles | Specialist/Technologist | Samford University 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2007-03-06 |
| 1366492514 | Alireza Farrokhroo | Student in an Organized Health Care Education/Training Program | 290519 Samford University, Birmingham, AL 35229-0001 | 2006-05-10 |
| 1902895212 | John Sowell | Pharmacist | Samford Univ Mcwhorter School of Pharmacy, 800 Lakeshore Drive, Birmingham, AL 35229-0001 | 2005-10-19 |
| 1548605298 | Elvis Esemu Mboya | Pharmacy Technician | Mcwhorter School of Pharmacy, 800 Lakeshore Dr. Homewood, Birmingham, AL 35229-0001 | 2013-05-08 |
| Find all providers in zip 35229 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588716021 | Samford University | Clinic/Center | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952731408 | Alabama A&m University | Clinic/Center | 4900 Meridian Stree, Normal, AL 35762 | 2013-11-20 |
| 1184978603 | University of West Alabama | Clinic/Center | 100 U.S. 11, Station 14 Uwa, Room 216, Livingston, AL 35470 | 2012-11-06 |
| 1538413059 | Alabama A&m University | Clinic/Center | 4011 Meridian St., Huntsville, AL 35762 | 2012-11-06 |
| 1861767410 | Troy University | Clinic/Center | 5000 Veterans Statium Dr, Troy, AL 36082-0001 | 2012-03-15 |
| 1508141268 | Spring Hill College | Clinic/Center | 4000 Dauphin St, Mobile, AL 36608-1780 | 2011-10-13 |
| 1326415175 | Auburn University At Montgomery Student Health Services | Clinic/Center | 7461 East Drive, Montgomery, AL 36117 | 2015-08-27 |
| 1215345566 | Auburn University | Clinic/Center | 349 S Donahue Dr, Auburn, AL 36849-0001 | 2014-07-31 |
| 1326190604 | Auburn University Medical Clinic | Clinic/Center | 400 Lem Morrison Dr, Auburn, AL 36849-0001 | 2007-01-17 |
| City | BIRMINGHAM |
| Zip Code | 35229 |
Please comment or provide details below to improve the information on SAMFORD UNIVERSITY.
| 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.