MIDDLE CREEK MEDICAL CENTER NPI 1881721512

Clinic/Center (Urgent Care) in Bessemer, AL

NPI 1881721512 Organization Clinic/Center Urgent Care CLIA Number 01D1063889 CLIA Certificate of Compliance

About MIDDLE CREEK MEDICAL CENTER

Middle Creek Medical Center is a provider established in Bessemer, Alabama specializing in clinic/center (urgent care) . The NPI number of Middle Creek Medical Center is 1881721512 and was assigned on February 2007. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Douglas K Woodward Md (Medical Director)

The CLIA number of Middle Creek Medical Center is 01D1063889 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Middle Creek Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1881721512

Provider NameMIDDLE CREEK MEDICAL CENTER
Provider Location Address4810 BELL HILL ROAD BESSEMER, AL 35022
Provider Mailing Address4810 BELL HILL ROAD BESSEMER, AL 35022
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-28-2007
Last Update Date03-18-2014


Primary Taxonomy

Taxonomy Code261QU0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationUrgent Care

Business Address

MIDDLE CREEK MEDICAL CENTER
4810 BELL HILL ROAD
BESSEMER, AL
ZIP 35022
Phone: (205) 477-3737
Fax: (205) 477-0373

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Mailing Address

MIDDLE CREEK MEDICAL CENTER
4810 BELL HILL ROAD
BESSEMER, AL
ZIP 35022
Phone: (205) 477-3737
Fax: (205) 477-0373



Authorized Official

Authorized Official Name DOUGLAS K WOODWARD MD
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(205) 477-3737

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 1881721512 is:

CLIA Number01D1063889
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225063449DR. DEBORAH ANN STANFORD MD
Individual
Emergency Medicine4810 BELL HILL ROAD
BESSEMER, AL 35022
(205) 477-3737

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.