Gardendale Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GARDENDALE MEDICAL CENTER

Practice address

2244 North Rd
Gardendale, AL 35071-2206

Phone

(205) 631-6216

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Cecilia G Thomas

Title

Insurance Clerk

Phone

(205) 631-6216

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1548433618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 NORTH RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712206",
            "telephone_number": "205-631-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 NORTH RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712206",
            "telephone_number": "205-631-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENDALE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "205-631-6216"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0110249",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51045205",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C72175",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Gamblin, COTA/L
• Gardendale Chiropractic Center
• Gardendale Dental
• Gardendale Family Dentistry
• Gardendale Health Mart Pharmacy LLC (Mills Pharmacy at Gardendale)
• Gardendale Oral Surgery, P.C.
• Gardendale Pain and Wellness, LLC
• Gardendale Pharmacy LLC
• Gardendale Physician Associates, P.C.
• Gardendale Surgical Associates

• Clinic/Center in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.