Tri County Medical Center, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TRI COUNTY MEDICAL CENTER, INC

Doing business as

Dental Clinic

Practice address

1115 Azalea PL
Brewton, AL 36426-1318

Phone

(251) 809-3925

Fax

(251) 809-6058

NPI assigned

Mar 5, 2007

Last updated

Feb 12, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

TRI COUNTY MEDICAL CENTER, INCAs reported in NPPES

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

Authorized official

Name

Marilyn J Sawyer

Title

Executive Director

Phone

(251) 578-1163

Specialties & licenses 1

Addresses

Other names 1

• DENTAL CLINIC Doing business as

Part of

Tri-County Med Ctr Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tri County Medical Center Inc

  • Internal Medicine Physician
  • Evergreen, AL
  • NPI 1679658371
  NPPES parent name

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1093844060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364010726",
            "telephone_number": "251-578-1163",
            "fax_number": "251-578-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 AZALEA PL",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261318",
            "telephone_number": "251-809-3925",
            "fax_number": "251-809-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI COUNTY MEDICAL CENTER, INC",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-578-1163"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Thier
• Tanisha Chantae Thomas
• Julie C Thompson, MSW
• Marina Lynn Thompson, M.D.
• Kayla Trawick
• Heidi Trippe
• Mary Turner
• Maria Isabel Villarreal, M. D.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1620)
• Walgreen Co (Walgreens #10762)

• Dental Clinic/Center in Brewton, AL
• Providers in Brewton, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.