604 Medical Center PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

604 MEDICAL CENTER PC

Doing business as

Monroeville Medical Clinic

Practice address

16 Medical Center Drive
Monroeville, AL 36460

Phone

(251) 575-3266

Fax

(251) 575-3262

NPI assigned

Jun 20, 2006

Last updated

Jul 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Waters

Title

Office Manager

Phone

(251) 575-3266

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monroeville Medical Clinic Doing business as

Practitioners 1

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.

• Caroline Phillips Rainey, CPNP

  • Pediatric Nurse Practitioner
  • Monroeville, AL
  • NPI 1750753117
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1235175266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MEDICAL CENTER DRIVE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36460",
            "telephone_number": "251-575-3266",
            "fax_number": "251-575-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDICAL CENTER DRIVE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36460",
            "telephone_number": "251-575-3266",
            "fax_number": "251-575-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "604 MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-575-3266"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529911320",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroeville Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advantage Home Medical Equipment
• Amedisys Home Health of Alabama, LLC (Adoration Home Health)
• Anngelic Home Care LLC
• Jennifer Andress Ball, LPC
• Bio-Medical Applications of Alabama, Inc. (FMC Whetstone)

• Clinic/Center in Monroeville, AL
• Providers in Monroeville, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.