MADISON COUNTY MEDICAL CENTER LLC (NPI# 1972017044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972017044 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY MEDICAL CENTER LLC |
| Practice Address |
13971 Highway 231 431 N Hazel Green AL 35750-8651 |
| Practice Telephone | 2568284273 |
| Mailing Telephone | 2568284273 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-12-12 |
| Authorized Official Name | JOHN BOYLE (OWNER) |
| Authorized Official Telephone | 2568284273 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13971 HIGHWAY 231 431 N |
| City | HAZEL GREEN |
| State | AL |
| Zip Code | 35750-8651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942787213 | Sarah Stapelmann | Dietitian, Registered | 158 Elkwood Section Rd, Hazel Green, AL 35750 | 2018-07-19 |
| 1396262259 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14731 Hwy 231 431 N, Unit A, Hazel Green, AL 35750 | 2017-08-23 |
| 1225589872 | Peulthai House | Marriage & Family Therapist | 14881 231/431 Highway North, Hazel Green, AL 35750 | 2016-10-19 |
| 1124574074 | Peulthai House/behavioral Health Day Treatment Center | Clinic/Center | 14881 G Hwy 231/431, North Hazel Green, AL 35750 | 2016-08-31 |
| 1679964118 | Wal-mart Stores East, Lp | Technician/Technologist | 14595 Hwy 231-431 N, Hazel Green, AL 35750 | 2015-02-05 |
| 1710306311 | Hazel Green Dental | Dentist | 14244 Highway 231/431 N, Hazel Green, AL 35750 | 2014-04-10 |
| 1306024096 | The Drug Store At Griners LLC | Pharmacy | 14470 Highway 231 431 North, Hazel Green, AL 35750 | 2008-02-05 |
| 1588874291 | Sidney Earl Lyle | Pharmacist | 189 Oakview Road, Hazel Green, AL 35750 | 2007-05-23 |
| 1952463929 | North Alabama Chiropractic Wellness Center, Inc | Chiropractor | 14253 Highway 231 North, Hazel Green, AL 35750 | 2006-12-15 |
| 1760570865 | James Patrick Duggan | Chiropractor | 15888 Hwy 431 231 N, Hazel Green, AL 35750 | 2006-10-11 |
| Find all providers in zip 35750 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013424886 | Gregory Matthew Headley | Nurse Practitioner | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2018-01-03 |
| 1245511138 | Mary C Kimbrell | Nurse Practitioner | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL GREEN |
| Zip Code | 35750 |
Please comment or provide details below to improve the information on MADISON COUNTY MEDICAL CENTER 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.