NPIMap

Organization Active NPI

Physicians Care of Sweet Water LLC

  • Primary Care Clinic/Center
  • Sweet Water, AL
National Provider Identifier
1316223969
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PHYSICIANS CARE OF SWEET WATER LLC
Practice address
31431 Alabama Highway 10
Sweet Water, AL 36782-4936
Phone
(334) 636-5311
Fax
(334) 636-2280
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Huey R Kidd, DO
Title
Physician
Phone
(334) 636-5311

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Rural Health Clinic/Center 261QR1300X
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

31431 Alabama Highway 10
Sweet Water, AL 36782-4936

Mailing address

31431 Alabama Highway 10
Sweet Water, AL 36782-4936
Phone (334) 636-5311

Other identifiers 1

IdentifierTypeStateIssuer
102G081345OtherALMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

31431 AL Highway 10
Sweet Water, AL 36782
Phone (334) 636-5311

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1316223969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31431 ALABAMA HIGHWAY 10",
            "city": "SWEET WATER",
            "state": "AL",
            "postal_code": "367824936",
            "telephone_number": "334-636-5311",
            "fax_number": "334-636-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31431 ALABAMA HIGHWAY 10",
            "city": "SWEET WATER",
            "state": "AL",
            "postal_code": "367824936",
            "telephone_number": "334-636-5311",
            "fax_number": "334-636-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE OF SWEET WATER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "HUEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-636-5311",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102G081345",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweet Water, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.