Organization Active NPI

Alabama Healthcare Development LLC

Doing business as Hoover Urgent Care

  • General Practice Physician
  • Hoover, AL
National Provider Identifier
1346309663
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD.27738 Issued in AL
Legal business name
ALABAMA HEALTHCARE DEVELOPMENT LLC
Doing business as
Hoover Urgent Care
Practice address
2467 John Hawkins Pkwy
Suite 201
Hoover, AL 35244-3538
Phone
(205) 987-6801
Fax
(205) 987-6810
NPI assigned
Dec 6, 2006
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. Kelly P Michel, M.D.NPI 1326138850
Title
Owner Manager
Phone
(205) 987-6801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD.27738 AL Primary

Addresses

Primary practice location

2467 John Hawkins Pkwy
Suite 201
Hoover, AL 35244-3538

Mailing address

2467 John Hawkins Pkwy
Suite 201
Hoover, AL 35244-3538
Phone (205) 987-6801

Other identifiers 1

IdentifierTypeStateIssuer
MD.27738OtherALMEDICAL LICENSE

Other names 1

  • Hoover Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070329000235 AL Part B Supplier - Clinic/Group Practice 9739283813 Receives reassigned benefits from 3 practitioners
Practice locations: Hoover, AL

National Provider Directory

National Provider Directory

Locations

2503 John Hawkins Pkwy
Ste 105
Hoover, AL 35244
Phone (205) 987-6801

1976 Gadsden Hwy
Ste 108
Trussville, AL 35235
Phone (225) 655-3009

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1346309663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 JOHN HAWKINS PKWY",
            "address_2": "SUITE 201",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443538",
            "telephone_number": "205-987-6801",
            "fax_number": "205-987-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 JOHN HAWKINS PKWY",
            "address_2": "SUITE 201",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443538",
            "telephone_number": "205-987-6801",
            "fax_number": "205-987-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA HEALTHCARE DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "205-987-6801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "MD.27738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD.27738",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoover Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.