NPIMap

Organization Active NPI

Cullman Regional Medical Center

Doing business as Hanceville Health Center

  • Primary Care Clinic/Center
  • Hanceville, AL
National Provider Identifier
1316112568
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
H2201 Issued in AL
Legal business name
CULLMAN REGIONAL MEDICAL CENTER
Doing business as
Hanceville Health Center
Practice address
307 Main St SW
Hanceville, AL 35077-5476
Phone
(256) 352-0188
Fax
(256) 352-0187
NPI assigned
Apr 29, 2008
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CULLMAN REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Jete Edmisson
Title
Cfo
Phone
(256) 737-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X H2201 AL Primary

Addresses

Primary practice location

307 Main St SW
Hanceville, AL 35077-5476

Mailing address

503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 739-1759

Other names 1

  • Hanceville Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cullman Reg Medblount SP12 organizations share this tax ID, including this one
Part of
Cullman Reg Medblount SP

Other organizations with this tax ID 11

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1316112568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-739-1759",
            "fax_number": "256-739-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST SW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350775476",
            "telephone_number": "256-352-0188",
            "fax_number": "256-352-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CULLMAN REGIONAL MEDICAL CENTER",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "EDMISSON",
        "authorized_official_first_name": "JETE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-737-2598"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "H2201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanceville Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanceville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.