Active NPI
Northwest Medical Center Inc.
- Rural Health Clinic/Center
- Sulligent, AL
National Provider Identifier
1225315468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- charles.rubley@nwp.eclinicaldirectplus.com
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| May 1, 2025 | Change of Ownership | Marion Regional Health - Winfield, Inc. |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- Sulligent, AL
- NPI 1194513986
Sold to, 2025-05-01
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.
-
- Rural Acute Care Hospital
- Winfield, AL
- NPI 1750495941
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
- Mark D. Land, D.M.D.
- Shana Lann
- Marion Regional Health - Winfield, Inc.
- Vishal Modi, M.D.
- North Lamar County Rescue Squad, Inc.
- NWMC Lamar Regional Health Center Radiology
- NWMC Winfield Phys-Lamar Reg HC Group
- NWMC-Winfield Physician Practices, LLC
- Premise Health of Alabama Medical PC
- Angela D. Rayburn, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.