BHC-Medstat of Jasper – General Practice Physician

Key facts

NPI: 1013115294
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Physician 208D00000X
Legal business name: BHC-MEDSTAT OF JASPER
Practice address: 3400 Highway 78 E
Medical Arts Tower; Suite 109
Jasper, AL 35501-8907
Phone: (205) 387-1891
Fax: (205) 387-8227
NPI assigned: Jul 10, 2007
Organization subpart: Yes
Parent organization (as reported): BAPTIST HEALTH CENTERS, INC

Authorized official

Name: Robert Pringle Ramsey
Title: Interim President
Phone: (205) 715-5901

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Ethan Baruch Ruben, M.D. Pediatrics Physician · Scottsboro, AL · NPI 1659343200

NPD (past)

National Provider Directory

Part of: Baptist Health Centers LLC

Locations

3400 Highway 78 E
Ste 109
Jasper, AL 35501
Phone (205) 387-1891

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Physician Group: 193400000X SINGLE SPECIALTY GROUP	208D00000X			Yes

Addresses

Primary practice location

3400 Highway 78 E
Medical Arts Tower; Suite 109
Jasper, AL 35501-8907

Mailing address

200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102
Phone (205) 715-5910

Other identifiers

Identifier	Type	State	Issuer
L274	Other	AL	MEDICARE GROUP

Other providers in Jasper, AL

All providers in Jasper, AL · General Practice Physician in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.