NPIMap

Organization Active NPI

Complete Medical Health,LLC

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1477975696
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPLETE MEDICAL HEALTH,LLC
Practice address
4820 University Dr NW
Suite 35
Huntsville, AL 35816-1867
Phone
(256) 721-9444
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Schara Davis
Title
Sole Member
Phone
(256) 721-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4820 University Dr NW
Suite 35
Huntsville, AL 35816-1867

Mailing address

119 Lawson Wall Dr
Huntsville, AL 35806-4002

Other names 1

  • MISSION SQUARE MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1477975696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LAWSON WALL DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 UNIVERSITY DR NW",
            "address_2": "SUITE 35",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161867",
            "telephone_number": "256-721-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL HEALTH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SCHARA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "256-721-9444"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSION SQUARE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.