ATTENTUS MOULTON, LLC (NPI# 1760930200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760930200 |
| Entity Type | Organization |
| Organization Name | ATTENTUS MOULTON, LLC |
| Other Organization Name | MOULTON PRIMARY CARE CLINIC |
| Practice Address |
40 Medical Cir Moulton AL 35650-1256 |
| Mailing Address |
Po Box 340 Moulton AL 35650-0340 |
| Practice Telephone | 2569740606 |
| Practice Fax Number | 2565222227 |
| Mailing Telephone | 2569742207 |
| Mailing Fax Number | 2569748211 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | CHRISTY LOUALLEN (CREDENTIALING/BILLING SUPERVISOR) |
| Authorized Official Telephone | 2569742207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Moulton Primary Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033155791 | Attentus Moulton, LLC | Clinic/Center | 350 Tennessee Street, Courtland, AL 35618 | 2006-06-21 |
| 1124062286 | Attentus Moulton, LLC | Clinic/Center | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2006-06-16 |
| 1568453389 | Attentus Moulton, LLC | General Acute Care Hospital | 202 Hospital St, Moulton, AL 35650-1218 | 2005-11-01 |
| 1699194308 | Attentus Moulton, LLC | Clinic/Center | 94 Medical Cir, Moulton, AL 35650-1256 | 2014-04-09 |
| 1174968572 | Attentus Moulton, LLC | Nurse Anesthetist, Certified Registered | 202 Hospital St, Moulton, AL 35650-1218 | 2013-04-30 |
| Street Address |
40 MEDICAL CIR |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801979075 | Charles D Coffey Md PC | Family Medicine | 40 Medical Cir, Moulton, AL 35650-1256 | 2006-10-23 |
| 1548581705 | Intrepid Internal Medicine PC | Internal Medicine | 40 Medical Cir, Moulton, AL 35650-1256 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124062286 | Attentus Moulton, LLC | Clinic/Center | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2006-06-16 |
| 1699194308 | Attentus Moulton, LLC | Clinic/Center | 94 Medical Cir, Moulton, AL 35650-1256 | 2014-04-09 |
| 1801238787 | Lakeshore Pediatrics PC | Clinic/Center | 12521 Al Highway 157 Ste B, Moulton, AL 35650-1937 | 2013-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1952952541 | Pediatric Associates of Alexander City PC | Clinic/Center | 21 Coosa County Road 50, Kellyton, AL 35089-1900 | 2019-09-25 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1487123915 | Physicians Care of Camden LLC | Clinic/Center | 24b Camden Byp, Camden, AL 36726-1770 | 2018-11-14 |
| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
| 1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
| 1568915106 | Physicians Care of Grove Hill LLC | Clinic/Center | 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 | 2016-08-01 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
| 1396125258 | D W Mcmillan Memorial Hospital | Clinic/Center | 1674 Cleveland Ave, Castleberry, AL 36432 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
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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.