Organization Active NPI

Northwest Medical Center Inc.

  • Rural Health Clinic/Center
  • Sulligent, AL
National Provider Identifier
1225315468
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTHWEST MEDICAL CENTER INC.
Practice address
1390 Walnut St
Sulligent, AL 35586-3841
Phone
(205) 698-7111
Fax
(205) 698-0516
NPI assigned
Nov 15, 2011
Organization subpart
Yes
Parent organization
NORTHWEST MEDICAL CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Cathy A. Mitchell
Title
Chief Executive Officer
Phone
(205) 487-7555

Specialties & licenses 1

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

Addresses

Primary practice location

1390 Walnut St
Sulligent, AL 35586-3841

Mailing address

1390 Walnut St
Sulligent, AL 35586-3841
Phone (205) 698-7111

Other names 1

  • SULLIGENT MEDICAL CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charles.rubley@nwp.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Northwest Medical Center Inc

Interoperability endpoints

  • Direct secure messaging: charles.rubley@nwp.eclinicaldirectplus.com

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 1, 2025 Change of OwnershipThis provider was the seller Marion Regional Health - Winfield, Inc.CCN 013970, AL, NPI 1194513986

Change of ownership 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1225315468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 WALNUT ST",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355863841",
            "telephone_number": "205-698-7111",
            "fax_number": "205-698-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 WALNUT ST",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355863841",
            "telephone_number": "205-698-7111",
            "fax_number": "205-698-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST MEDICAL CENTER INC.",
        "enumeration_date": "2011-11-15",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "205-487-7555"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.rubley@nwp.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1390 Walnut St",
            "city": "Sulligent",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355863841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SULLIGENT MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SULLIGENT MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulligent, AL

Sources for this page

Verify at the official NPI Registry.