NPIMap

Organization Active NPI

Tri- County Mobile X-Ray Inc.

  • Skilled Nursing Facility
  • Vinemont, AL
National Provider Identifier
1366915738
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TRI- COUNTY MOBILE X-RAY INC.
Practice address
693 County Road 1343
Vinemont, AL 35179
Phone
(256) 739-2051
Fax
(256) 841-6399
NPI assigned
Jan 8, 2019
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
TRI-COUNTY MOBILE X-RAY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Mr. Dennis Carroll Corry, RTNPI 1255599916
Title
Owner
Phone
(256) 338-3893

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
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

693 County Road 1343
Vinemont, AL 35179

Mailing address

P.O. Box 305
Vinemont, AL 35179
Phone (256) 739-2051

Other names 1

  • Tri-County Mobile Imaging Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190816001676 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6305921644 Practice locations: Vinemont, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Tri County Mobile X Ray2 organizations share this tax ID, including this one
Part of
Tri County Mobile X Ray

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1366915738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 305",
            "city": "VINEMONT",
            "state": "AL",
            "postal_code": "35179",
            "telephone_number": "256-739-2051",
            "fax_number": "256-841-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 COUNTY ROAD 1343",
            "city": "VINEMONT",
            "state": "AL",
            "postal_code": "35179",
            "telephone_number": "256-739-2051",
            "fax_number": "256-841-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI- COUNTY MOBILE X-RAY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-COUNTY MOBILE X-RAY INC.",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "CORRY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-338-3893",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Mobile Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vinemont, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.