Complete Care Medical Clinic, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

19014 Issued in AL

Legal business name

COMPLETE CARE MEDICAL CLINIC, LLC

Practice address

1300 Bessemer Rd
Birmingham, AL 35208-4326

Phone

(205) 929-0565

Fax

(205) 929-0564

NPI assigned

Feb 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick E Ifediba, M.D

Title

Billing Manager

Phone

(205) 929-0565

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1063556926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BESSEMER RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084326",
            "telephone_number": "205-929-0565",
            "fax_number": "205-929-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BESSEMER RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084326",
            "telephone_number": "205-929-0565",
            "fax_number": "205-929-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "IFEDIBA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "205-929-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AL",
            "license": "19014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529921350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson A Como, PHARM. D.
• Compassionate Counseling and Consulting Services, LLC
• Compassionate Works LLC
• Compassus Op of Alabama LLC
• Complete Birmingham
• Complete Dental Care, P.C.
• Complete Family Health Care, P.C.
• Complete Vitality LLC
• Complete Vitality LLC
• Comprehensive Breast Health LLC

• Urgent Care Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Urgent Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.