Active NPI
Alabama Health Services St Clair LLC
- Anesthesiology Physician
- Pell City, AL
National Provider Identifier
1295850287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ALABAMA HEALTH SERVICES ST CLAIR LLC
- Practice address
- 2805 Dr John Haynes Dr
Pell City, AL 35125-1448 - Phone
- (205) 338-3301
- NPI assigned
- Mar 20, 2007
- Organization subpart
- Yes
- Parent organization
- ALABAMA HEALTH SERVICES ST CLAIR LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Williams
- Title
- Cfo
- Phone
- (205) 838-3426
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
2805 Dr John Haynes Dr
Pell City, AL 35125-1448
Mailing address
PO Box 2726
Birmingham, AL 35202-2726
Phone (205) 322-1808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529800500 | Medicaid | AL |
Other names 1
- Alabama Health Services St Clair Anesthesia
National Provider Directory
National Provider Directory- Tax ID family
- St Vincents St Clair LLC
- Part of
- St Vincents St Clair LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Pell City, AL
- NPI 1376136929
-
- Medicare Defined Swing Bed Hospital Unit
- Pell City, AL
- NPI 1821511866
-
- General Acute Care Hospital
- Pell City, AL
- NPI 1992809305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504656000000",
"number": "1295850287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2726",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352022726",
"telephone_number": "205-322-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 DR JOHN HAYNES DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251448",
"telephone_number": "205-338-3301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALABAMA HEALTH SERVICES ST CLAIR LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALABAMA HEALTH SERVICES ST CLAIR LLC",
"enumeration_date": "2007-03-20",
"last_updated": "2017-09-06",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "205-838-3426"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529800500",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alabama Health Services St Clair Anesthesia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pell City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.