WIREGRASS MEDICAL CENTER (GENEVAL COUNTY HEALTH CARE AUTHORITY, INC.) NPI 1720444789

Clinic/Center (Rural Health) in Florala, AL

NPI 1720444789 Organization Clinic/Center Rural Health

About WIREGRASS MEDICAL CENTER (GENEVAL COUNTY HEALTH CARE AUTHORITY, INC.)

Wiregrass Medical Center (geneval County Health Care Authority, Inc.) is a primary care provider established in Florala, Alabama specializing in clinic/center (rural health) . The NPI number of Wiregrass Medical Center (geneval County Health Care Authority, Inc.) is 1720444789 and was assigned on January 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Wiregrass Medical Center. The authorized official of this NPI record is Mr. Samuel G. Johnson (Chief Executive Officer)

A primary care provider (PCP) like Wiregrass Medical 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

NPI

1720444789

Provider NameWIREGRASS MEDICAL CENTER (GENEVAL COUNTY HEALTH CARE AUTHORITY, INC.)
Provider Location Address24245 5TH AVE FLORALA, AL 36442
Provider Mailing Address24245 5TH AVE FLORALA, AL 36442
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameWIREGRASS MEDICAL CENTER
Other Name TypeDoing Business As (3)
Enumeration Date01-06-2016
Last Update Date03-23-2016


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health

Business Address

WIREGRASS MEDICAL CENTER
24245 5TH AVE
FLORALA, AL
ZIP 36442
Phone: (334) 684-3655

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Mailing Address

WIREGRASS MEDICAL CENTER
24245 5TH AVE
FLORALA, AL
ZIP 36442
Phone: (334) 684-3655



Authorized Official

Authorized Official NameMR. SAMUEL G. JOHNSON
Authorized Official TitleCHIEF EXECUTIVE OFFICER
Authorized Official Phone(334) 684-3655

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
01-0062MEDICARE UPIN (02)AL

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558453472 BOBBY CHARLES KEMP CRNP
Individual
Nurse Practitioner (Family)24245 5TH AVE
FLORALA, AL 36442
(334) 858-2050
1104120179UNITED FLORALA INC.
Organization
Clinic/Center (Primary Care)24245 5TH AVE
FLORALA, AL 36442
(334) 858-2282
1740614072UNITED FLORALA INC.
Organization
Clinic/Center (Rural Health)24245 5TH AVE
FLORALA, AL 36442
(334) 858-2282
1669895389BRIGHTER TOMORROWS AT FLORALA MEMORIAL HOSPITAL LLC
Organization
Clinic/Center24245 5TH AVE
FLORALA, AL 36442
(334) 858-2282
1215477047COMMUNITY HOSPITAL OF ANDALUSIA, INC.
Organization
Clinic/Center (Rural Health)24245 5TH AVE
FLORALA, AL 36442
(334) 428-7021
1437684305COMMUNITY HOSPITAL OF ANDALUSIA LLC
Organization
Family Medicine24245 5TH AVE
FLORALA, AL 36442
(334) 428-7021
1467075275FLORALA FAMILY CARE LLC
Organization
Clinic/Center (Primary Care)24245 5TH AVE
FLORALA, AL 36442
(334) 684-9208

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.