Lavaca Primary Health Systems, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAVACA PRIMARY HEALTH SYSTEMS, LLC

Practice address

3915 Palisades Dr Ste C
Tuscaloosa, AL 35405-3415

Phone

(205) 248-2073

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By 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

Reginal N Vines

Title

Owner

Phone

(470) 235-9354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1235617333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SOUTHVIEW LN # 103-140",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056390",
            "telephone_number": "470-235-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 PALISADES DR STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053415",
            "telephone_number": "205-248-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVACA PRIMARY HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "REGINAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-235-9354"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Clark Lanier, DO
• Isabella Rayne Larabee
• Zoe Bea Larson
• Hugh Randall Latham, PA
• Jeffery C Laubenthal, MD
• Alexis Simone Lavender, FNP-C
• Catherine A Lavender, M.D.
• Paul D Lavender, M.D.
• Rhonda Lawless
• Kailyn Lawlor, LAT, ATC

• Durable Medical Equipment & Medical Supplies in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.