NPIMap

Organization Active NPI

Attentus Moulton, LLC

Doing business as Lawrence Rural Health Clinic, Moulton/Lawrence Urgent Care Center

  • Rural Health Clinic/Center
  • Moulton, AL
National Provider Identifier
1124062286
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ATTENTUS MOULTON, LLC
Doing business as
Lawrence Rural Health Clinic, Moulton/Lawrence Urgent Care Center
Practice address
10939 Al Highway 157
Moulton, AL 35650-1900
Phone
(256) 974-8440
Fax
(256) 974-6993
NPI assigned
Jun 16, 2006
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Dean Griffin
Title
Ceo
Phone
(256) 974-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

10939 Al Highway 157
Moulton, AL 35650-1900

Mailing address

10939 Al Highway 157
Moulton, AL 35650-1900
Phone (256) 974-8440

Other identifiers 1

IdentifierTypeStateIssuer
540003994MedicaidAL

Other names 1

  • Lawrence Rural Health Clinic, Moulton/Lawrence Urgent Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000324 AL Part B Supplier - Clinic/Group Practice 6406895382 Receives reassigned benefits from 33 practitioners
7 other NPIs on this enrollment
Practice locations: Courtland, AL; Moulton, AL

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Attentus Moulton LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10939 AL Highway 157
Moulton, AL 35650
Phone (256) 974-3390

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Home Health, a Lawrence Medical Center PartnerMoulton, AL, CCN 017118 Home health agency 5% Or Greater Direct Ownership Interest (33.33%) Feb 11, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Change-of-ownership history 1

DateEventCounterparty
May 24, 2025 Change of OwnershipThis provider was the seller HH Health System - Morgan, LLCCCN 013994, AL, NPI 1164214300

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1124062286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10939 AL HIGHWAY 157",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501900",
            "telephone_number": "256-974-8440",
            "fax_number": "256-974-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10939 AL HIGHWAY 157",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501900",
            "telephone_number": "256-974-8440",
            "fax_number": "256-974-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTENTUS MOULTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-974-2286"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003994",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Rural Health Clinic, Moulton/Lawrence Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lawrence Rural Health Clinic, Moulton/Lawrence Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moulton, AL

Sources for this page

Verify at the official NPI Registry.