Organization Active NPI

Alabama Health Services St Clair LLC

  • Anesthesiology Physician
  • Pell City, AL
National Provider Identifier
1295850287
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
529800500MedicaidAL

Other names 1

  • Alabama Health Services St Clair Anesthesia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Vincents St Clair LLC4 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.