CAHABA MEDICAL CARE (CAHABA MEDICAL CARE FOUNDATION) NPI 1316289515

Clinic/Center (Federally Qualified Health Center (FQHC)) in Centreville, AL

NPI 1316289515 Organization Clinic/Center Federally Qualified Health Center (FQHC) CLIA Number 01D2064365 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About CAHABA MEDICAL CARE (CAHABA MEDICAL CARE FOUNDATION)

Cahaba Medical Care (cahaba Medical Care Foundation) is a primary care provider established in Centreville, Alabama specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Cahaba Medical Care (cahaba Medical Care Foundation) is 1316289515 and was assigned on March 2013. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Cahaba Medical Care. The authorized official of this NPI record is Kay Cox (Chief Operating Officer)

A primary care provider (PCP) like Cahaba Medical Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Cahaba Medical Care is 01D2064365 registered as a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Cahaba Medical Care in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1316289515

Provider NameCAHABA MEDICAL CARE (CAHABA MEDICAL CARE FOUNDATION)
Provider Location Address405 BELCHER ST CENTREVILLE, AL 35042
Provider Mailing Address405 BELCHER ST CENTREVILLE, AL 35042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCAHABA MEDICAL CARE
Other Name TypeDoing Business As (3)
Enumeration Date03-26-2013
Last Update Date07-29-2016


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

CAHABA MEDICAL CARE
405 BELCHER ST
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-2992
Fax: (205) 926-2993

Get Directions


Mailing Address

CAHABA MEDICAL CARE
405 BELCHER ST
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-2992
Fax: (205) 926-2993



Authorized Official

Authorized Official Name KAY COX
Authorized Official TitleCHIEF OPERATING OFFICER
Authorized Official Phone(205) 926-2992

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1316289515 is:

CLIA Number01D2064365
Facility TypeFEDERALLY QUALIFIED HEALTH CENTER
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679954648MRS. NICHOLE SHARP PRITCHETT RN, MSN, NP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1568838746MRS. KACIE E WOOD NP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1871965236MRS. SUZANNE VENTRESS TOMPKINS PA-C
Individual
Physician Assistant (Medical)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1114378486MR. JOSHUA ELLEDGE CRNP
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1902346802 SUMAYAH ABED
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1083143598 STEPHANIE SAVAGE CRNP
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1164932141 KAYLEE LAURA PERKINS PA
Individual
Physician Assistant405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1891293296 KATHRYN CLAIRE AHALT FNP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1962422337DR. JOHN BRYAN WAITS M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1780821959 LACY MICHELLE SMITH MD
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1982048146DR. ADAM ROBERT ROSS M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1932513843 DAKOTA PRICE MD
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1114361227 AUSTIN KLINT M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1578887584 JEREMY CRIDER M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1629312566DR. LENA JEANELLE GAMBLE MD, PHD
Individual
Community Health Worker405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1033592563 JAMIE BISHOP
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 316-7690
1508350620 ANDRIA EVE KNIGHTEN
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1639663453 JULIA TODD DO
Individual
Student in an Organized Health Care Education/Training Program405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1568759645 JONATHAN PETERS MD
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1700339454 NICHOLAS DARBY
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.