NPIMap

Organization Active NPI

Infirmary Health System

  • Acute Care Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1497097208
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-119026 Issued in AL
Legal business name
INFIRMARY HEALTH SYSTEM
Practice address
1720 Spring Hill Ave
Suite 300
Mobile, AL 36604-1410
Phone
(251) 435-1770
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Kim Martin
Title
Director of Clinic Operations
Phone
(251) 435-1360

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1-119026 AL
Rehabilitation Hospital Unit 273Y00000X 1-119026 AL
General Acute Care Hospital 282N00000X 1-119026 AL
Acute Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2100X 1-119026 AL Primary

Addresses

Primary practice location

1720 Spring Hill Ave
Suite 300
Mobile, AL 36604-1410

Mailing address

8609 Pine Run
Spanish Fort, AL 36527-8637
Phone (251) 610-5212

National Provider Directory

National Provider Directory
Tax ID family
Imc-Diagnostic Med Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1720 Spring Hill Ave
Ste 300
Mobile, AL 36604

Interoperability endpoints

  • FHIR API: https://ssproxyprod.infirmaryhealth.org/epicFHIR/api/FHIR/R4/

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1497097208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 PINE RUN",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278637",
            "telephone_number": "251-610-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE",
            "address_2": "SUITE 300",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "telephone_number": "251-435-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFIRMARY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "251-435-1360"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AL",
            "license": "1-119026",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "AL",
            "license": "1-119026",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "1-119026",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-119026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.