DBA COOSA VALLEY MEDICAL CENTER
NPI 1124235320
Family Medicine in Sylacauga, AL

Active since May 17, 2007CLIA Certified · 2 labs
315 W HICKORY ST, SYLACAUGA, AL 35150(256) 401-4000(256) 401-4603 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dba Coosa Valley Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA COOSA VALLEY MEDICAL CENTER (NPI 1124235320) is a healthcare organization registered as a family medicine in Sylacauga, Alabama and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Janice G Brown, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1124235320
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHE SYLACAUGA HEALTH CARE AUTHORITY
Location Address315 W HICKORY STSylacauga, AL 35150-2913
Mailing Address315 W Hickory StreetSylacauga, AL 35150-2913 · (256) 401-4070 · Fax (256) 401-4603
Fax(256) 401-4603
Organization SubpartNo
Authorized OfficialJanice G BrownChief Financial Officer · (256) 401-4606
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 9, 2012
NPI 1124235320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License 208600000X (AL)
315 W HICKORY ST, Sylacauga, AL 35150

Other Names 1

Doing Business AsDba Coosa Valley Medical Center

Other Identifiers 3

Medicare PINK423AL
Medicare PINJ911AL
Medicare PINJ942AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0300395

Coosa Valley Medical Center Laboratory · Sylacauga, AL
Active · expires Feb 22, 2028
CLIA Number01D0300395
Laboratory TypeHospital
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorLaura G. Deichmann MD
Laboratory Phone(256) 401-4307
Laboratory LocationCoosa Valley Medical Center Laboratory315 West Hickory Street, Sylacauga, AL 35150
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 01D2027930

Coosa Valley Medical Center Clinical Laboratory · Sylacauga, AL
Active · expires Nov 13, 2026
CLIA Number01D2027930
Laboratory TypeIndependent
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDr. Edward J. Benak
Laboratory Phone(256) 401-4160
Laboratory LocationCoosa Valley Medical Center Clinical Laboratory315 West Hickory Street, Sylacauga, AL 35150
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
315 W HICKORY ST
SYLACAUGA, AL 35150
Pharmacist
315 W HICKORY ST
SYLACAUGA, AL 35150
Specialist
315 W HICKORY ST
SYLACAUGA, AL 35150
Nurse Anesthetist, Certified Registered
315 W HICKORY ST
SYLACAUGA, AL 35150
Nurse Anesthetist, Certified Registered
315 W HICKORY ST
SYLACAUGA, AL 35150
Emergency Medicine
315 W HICKORY ST
SYLACAUGA, AL 35150
Physician Assistant
315 W HICKORY ST
SYLACAUGA, AL 35150
Dietitian, Registered
315 W HICKORY ST
SYLACAUGA, AL 35150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Sylacauga Health Care Authority's NPI number?

The NPI number for The Sylacauga Health Care Authority is 1124235320. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Dba Coosa Valley Medical Center.

Where is The Sylacauga Health Care Authority located?

The Sylacauga Health Care Authority is located at 315 W Hickory St, Sylacauga, AL 35150. The listed phone number is (256) 401-4000.

What is The Sylacauga Health Care Authority's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does The Sylacauga Health Care Authority hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for The Sylacauga Health Care Authority was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.