Active NPI
Tri- County Mobile X Ray Inc.
- Skilled Nursing Facility
- Vinemont, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TRI- COUNTY MOBILE X RAY INC.
- Practice address
- 693 County Road 1343
Vinemont, AL 35179 - Phone
- (256) 739-2051
- Fax
- (256) 775-1317
- NPI assigned
- Dec 5, 2006
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis Carroll Corry, ARRT
- Title
- Owner
- Phone
- (256) 739-2051
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
693 County Road 1343
Vinemont, AL 35179
Mailing address
PO Box 305
Vinemont, AL 35179
Phone (256) 739-2051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000055014 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080311000159 | AL | Part B Supplier - Portable X-Ray Supplier | 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 Ray
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Vinemont, AL
- NPI 1366915738
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Radiography Radiologic Technologist
- Vinemont, AL
- NPI 1255599916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1497813125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "VINEMONT",
"state": "AL",
"postal_code": "35179",
"telephone_number": "256-739-2051",
"fax_number": "256-775-1317"
},
{
"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": "256-775-1317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI- COUNTY MOBILE X RAY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2008-06-17",
"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": "256-739-2051",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ARRT"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000055014",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}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 Jun 17, 2008; 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.