ST CLAIR EMERGENCY DEPARTMENT
NPI 1780671495
Emergency Medicine in Pell City, AL

NPI Status: Active since September 29, 2005

Contact Information

2805 DR JOHN HAYNES DR
PELL CITY, AL
ZIP 35125
Phone: (205) 814-2104
Fax: (205) 814-2145

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  • Organization
  • Emergency Medicine
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About ST CLAIR EMERGENCY DEPARTMENT

This page provides the complete NPI Profile along with additional information for St Clair Emergency Department, a provider established in Pell City, Alabama operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1780671495 assigned on September 2005. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. St Clair Emergency Department operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Clair Emergency Department. The authorized official of this NPI record is Brandon Williams (Cfo)

NPI
1780671495
Provider Legal Name
ST VINCENTS ST CLAIR LLC
Other Organization Name
ST CLAIR EMERGENCY DEPARTMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2805 DR JOHN HAYNES DR PELL CITY, AL 35125
Location Phone
(205) 814-2104
Location Fax
(205) 814-2145
Mailing Address
PO BOX 11407 LOCKBOX 1061 BIRMINGHAM, AL 35246
Mailing Phone
(205) 437-6098
Mailing Fax
(205) 814-2145
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-29-2005
Last Update Date
09-06-2017
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St Clair Emergency Department is a medicare supplier with PTAN 20614007 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Hospital Beds (Electric) or Hospital Beds (Manual) or Negative Pressure Wound Therapy Pumps/Supplies or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or High Freq Chest Wall Oscillation Devices/Supplies or Intermittent Positive Pressure Breathing IPPB DEV or Intrapulmonary Percussive Ventilation Devices or Mechanical In-Exsufflation Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Ventilators Accessories and/or Supplies or Surgical Dressings or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRANDON WILLIAMS

Authorized Official Title
CFO
Authorized Official Phone
(205) 814-2104

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
J704MEDICARE PIN (08)AL 
CN6981MEDICARE PIN (08)AL 
167885300OTHER (01)ALDEPT OF LABOR (OWCP)
529919640MEDICAID (05)AL 
3901720OTHER (01)ALUNITEDHEALTHCARE OF AL
F856OTHER (01)ALBCBS GROUP PROVIDER #
311653OTHER (01)ALBLACK LUNG - DPT OF LABOR

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20614007
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other, MSC With Respiratory Therapist, MSC With Orthotic Personnel.
Provider Type List
OXYGEN & EQUIPMENT.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
  • Negative Pressure Wound Therapy Pumps/Supplies - Wound care sets, Pumps, Canisters
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Power Operated Vehicles (Scooters) - Scooters
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
  • Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Tracheotomy Supplies - Tracheostomy care kits
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • High Freq Chest Wall Oscillation Devices/Supplies - Generator system, Vest, Hoses
  • Intermittent Positive Pressure Breathing IPPB DEV - Intermittent assist devices
  • Intrapulmonary Percussive Ventilation Devices - Intrapulmonary percussive ventilation compressor, hand held units, tubing
  • Mechanical In-Exsufflation Devices - Mechanical in-exsufflation devices are designed to slowly inflate the lungs with positive pressure during inspiration and simulate cough with rapidly applied negative pressure during expiration.
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Assist Devices -
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Ventilators Accessories and/or Supplies - Volume control ventilator, Pressure support ventilator
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Lymphedema Compression Treatment Items -

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780671495, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 2 + 7 + 2 + 4 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1780671495.

Other Providers at the Same Location


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

Emergency Medicine
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
Internal Medicine (Cardiovascular Disease)
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
Emergency Medicine
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
Nurse Practitioner
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
Nurse Anesthetist, Certified Registered
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
Anesthesiology
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
Nurse Anesthetist, Certified Registered
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780671495, enumerated as an "organization" on September 29, 2005.

The provider is located at 2805 DR JOHN HAYNES DR PELL CITY, AL 35125 and the phone number is (205) 814-2104.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.