Organization Active NPI

Oakwood University Church Health Service

  • Family Health Clinical Nurse Specialist
  • Huntsville, AL
National Provider Identifier
1164811758
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
13621 Issued in AL
Legal business name
OAKWOOD UNIVERSITY CHURCH HEALTH SERVICE
Practice address
5500 Adventist Blvd NW
Suite 103
Huntsville, AL 35896-0002
Phone
(256) 203-5185
Fax
(256) 203-5184
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Charles Vincent Anderson
Title
President
Phone
(256) 203-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X 13621 AL Primary

Addresses

Primary practice location

5500 Adventist Blvd NW
Suite 103
Huntsville, AL 35896-0002

Mailing address

5500 Adventist Blvd NW
Suite 103
Huntsville, AL 35896-0002
Phone (256) 203-5185

National Provider Directory

National Provider Directory

Locations

5500 Adventist Blvd NW
Ste 103
Huntsville, AL 35896
Phone (256) 203-5185

5500 Adventist Blvd NW
#103
Huntsville, AL 35896
Phone (256) 203-5185

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1164811758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 ADVENTIST BLVD NW",
            "address_2": "SUITE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358960002",
            "telephone_number": "256-203-5185",
            "fax_number": "256-203-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 ADVENTIST BLVD NW",
            "address_2": "SUITE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358960002",
            "telephone_number": "256-203-5185",
            "fax_number": "256-203-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD UNIVERSITY CHURCH HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-203-5185",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AL",
            "license": "13621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2015; 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.