TALLADEGA PRIMARY AND URGENT CARE CENTER (REGIONAL HEALTH MANAGEMENT CORPORATION) NPI 1821150087

Specialist in Talladega, AL

NPI 1821150087 Organization Specialist CLIA Number 01D0300436 CLIA Certificate of Waiver

About TALLADEGA PRIMARY AND URGENT CARE CENTER (REGIONAL HEALTH MANAGEMENT CORPORATION)

Talladega Primary And Urgent Care Center (regional Health Management Corporation) is a provider established in Talladega, Alabama specializing in specialist. The NPI number of Talladega Primary And Urgent Care Center (regional Health Management Corporation) is 1821150087 and was assigned on December 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Talladega Primary And Urgent Care Center (regional Health Management Corporation) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Talladega Primary And Urgent Care Center. The authorized official of this NPI record is Mrs. Kaye C Bryant (Office Manager)

The CLIA number of Talladega Primary And Urgent Care Center is 01D0300436 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Talladega Primary And Urgent Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1821150087

Provider NameTALLADEGA PRIMARY AND URGENT CARE CENTER (REGIONAL HEALTH MANAGEMENT CORPORATION)
Provider Location Address803 NORTH ST E TALLADEGA, AL 35160
Provider Mailing Address803 NORTH ST E TALLADEGA, AL 35160
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameTALLADEGA PRIMARY AND URGENT CARE CENTER
Other Name TypeDoing Business As (3)
Enumeration Date12-14-2006
Last Update Date01-03-2012


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

TALLADEGA PRIMARY AND URGENT CARE CENTER
803 NORTH ST E
TALLADEGA, AL
ZIP 35160
Phone: (256) 362-1600
Fax: (256) 362-8698

Get Directions


Mailing Address

TALLADEGA PRIMARY AND URGENT CARE CENTER
803 NORTH ST E
TALLADEGA, AL
ZIP 35160
Phone: (256) 362-1600
Fax: (256) 362-8698



Authorized Official

Authorized Official NameMRS. KAYE C BRYANT
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(256) 362-1600

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 1821150087 is:

CLIA Number01D0300436
Facility TypeOTHER
Certificate TypeCertificate of Waiver

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.

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
D450MEDICARE ID-TYPE UNSPECIFIED (04)AL

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063493351DR. DAWSON LEIGH MURPHY M.D.
Individual
Surgery803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1205817509DR. DAVID H ROBERTS M.D.
Individual
Surgery803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1215918511DR. CHARLES R LAMBERT M.D.
Individual
Family Medicine803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1629267141 ARDEN LEROY AYLOR MD
Individual
Family Medicine (Geriatric Medicine)803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1598154635 APRIL BROWN CRNP
Individual
Nurse Practitioner (Family)803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1336249994 ANNE B. DAVIS M.D.
Individual
Internal Medicine803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252
1952401887 JOAN V. PATTERSON CRNP
Individual
Nurse Practitioner (Family)803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252
1700956265 MARY PAGE H MCKINNEY CRNP
Individual
Nurse Practitioner803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252
1164833539 BRIDGET GIBSON MD
Individual
Family Medicine803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252
1861456923BAPTIST HEALTH CENTERS LLC
Organization
Internal Medicine803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252

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.