Organization Active NPI

Clinica Medica Moscati

  • Community Health Clinic/Center
  • Huntsville, AL
National Provider Identifier
1154130987
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
CLINICA MEDICA MOSCATI
Practice address
204 Lowe Ave SE Ste 7
Huntsville, AL 35801-4252
Phone
(256) 715-1054
Fax
(256) 715-1082
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Mrs. Mayra Short
Title
Executive Director
Phone
(256) 715-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

204 Lowe Ave SE Ste 7
Huntsville, AL 35801-4252

Mailing address

204 Lowe Ave SE Ste 7
Huntsville, AL 35801-4252
Phone (256) 715-1054

Other names 1

  • Clinica Medica Moscati (CMM) Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2324943Clinica Medica Moscati204 Lowe Ave SE, Suite 7, Huntsville, AL 35801Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Locations

204 Lowe Ave SE
Ste 7
Huntsville, AL 35801
Phone (256) 517-5091

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1154130987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LOWE AVE SE STE 7",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014252",
            "telephone_number": "256-715-1054",
            "fax_number": "256-715-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LOWE AVE SE STE 7",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014252",
            "telephone_number": "256-715-1054",
            "fax_number": "256-715-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA MOSCATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-715-1054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Moscati (CMM)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.