Infirmary ASC - Daphne, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INFIRMARY ASC - DAPHNE, LLC

Practice address

27961 US Highway 98
Daphne, AL 36526-4702

Phone

(251) 626-6646

NPI assigned

Feb 24, 2022

Last updated

Feb 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla Evans, RN

Title

RVP of Ops

Phone

(614) 374-6496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Infirmary ASC Daphne LLCCCN 01C0001104

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Vaughan Rush III, DO

  • Physical Medicine & Rehabilitation Physician
  • Fairhope, AL
  • NPI 1518935881
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1093461410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 CROSSWOODS BLVD",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-550-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264702",
            "telephone_number": "251-626-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFIRMARY ASC - DAPHNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "RVP OF OPS",
        "authorized_official_telephone_number": "614-374-6496",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Monique Hughes, P.T
• Allison Hunter, MD
• Timothy M Iliff, MD
• Illuminate Group LLC
• Imc-Eastern Shore Family Practice LLC
• Infirmary Occupational Health, LLC
• Inform Diagnostics, Inc.
• Injury Med Express Pharmacy LLC (Injury Med Express Pharmacy)
• Inspired Angels of Care, LLC
• Integral Alignment, Inc. (Filed for Dba Healthsource of Daphne) (HealthSource of Daphne (filed for))

• Ambulatory Surgical Clinic/Center in Daphne, AL
• Providers in Daphne, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.