MEDICAL WEST HUEYTOWN HEALTH CENTER NPI 1376836817

Family Medicine in Hueytown, AL

NPI 1376836817 Organization Family Medicine CLIA Number 01D0899685 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About MEDICAL WEST HUEYTOWN HEALTH CENTER

Medical West Hueytown Health Center is a primary care provider established in Hueytown, Alabama specializing in family medicine. The NPI number of Medical West Hueytown Health Center is 1376836817 and was assigned on May 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Medical West Hueytown Health Center operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Brandon Slocum (Chief Financial Officer)

A primary care provider (PCP) like Medical West Hueytown Health Center 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 Medical West Hueytown Health Center is 01D0899685 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Medical West Hueytown Health Center 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

1376836817

Provider NameMEDICAL WEST HUEYTOWN HEALTH CENTER
Provider Location Address3004 ALLISON BONNETT MEMORIAL DR HUEYTOWN, AL 35023
Provider Mailing Address3004 ALLISON BONNETT MEMORIAL DR HUEYTOWN, AL 35023
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date05-17-2011
Last Update Date05-17-2011


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily 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.

Business Address

MEDICAL WEST HUEYTOWN HEALTH CENTER
3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL
ZIP 35023
Phone: (205) 491-3299
Fax: (205) 744-8751

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Mailing Address

MEDICAL WEST HUEYTOWN HEALTH CENTER
3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL
ZIP 35023
Phone: (205) 491-3299
Fax: (205) 744-8751



Authorized Official

Authorized Official NameMR. BRANDON SLOCUM
Authorized Official TitleCHIEF FINANCIAL OFFICER
Authorized Official Phone(205) 481-7134

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 1376836817 is:

CLIA Number01D0899685
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851487417 THOMAS R. BRYANT M.D.
Individual
Family Medicine3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1649670845 JACK THOMPSON DPT
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1558753087 BENJAMIN SINGLETARY PT
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1073941217THERAPY SOUTH HUEYTOWN LLC
Organization
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1003841453REBOUND PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Organization
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9889
1104849843 MICHAEL A ROSEMORE D.O.
Individual
Physical Medicine & Rehabilitation3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1083207666 QUINCY AMANDA MARLIN
Individual
Physician Assistant (Medical)3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1962093757 JASON O'DOWD
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1104069228DR. LASHAUNDRA MARIE THEDFORD-SMITH MD
Individual
Internal Medicine3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1679505465 JONATHAN MIZE MD
Individual
Internal Medicine3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1770644031 CEDRIC LEON HARRIS MD
Individual
Internal Medicine3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1073001301 RONDA LEA FREEMAN CRNP
Individual
Nurse Practitioner3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1114428422 AMBER LEA CROWDER PA-C
Individual
Physician Assistant (Medical)3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299

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.