NPIMap

Organization Active NPI

Cullman Regional Medical Center Physicians

  • General Acute Care Hospital
  • Cullman, AL
National Provider Identifier
1558533166
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10337 Issued in AL
Legal business name
CULLMAN REGIONAL MEDICAL CENTER PHYSICIANS
Practice address
1912 Al Highway 157
Cullman, AL 35058-0609
Phone
(256) 737-2000
Fax
(256) 737-2005
NPI assigned
Mar 24, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CULLMAN REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Jete Edmisson
Title
Cfo/Coo
Phone
(256) 737-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10337 AL Primary

Addresses

Primary practice location

1912 Al Highway 157
Cullman, AL 35058-0609

Mailing address

1912 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2000

Other identifiers 1

IdentifierTypeStateIssuer
529920900MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Cullman Regional Medical Center12 organizations share this tax ID, including this one
Part of
Cullman Regional Medical Center

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1558533166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-2000",
            "fax_number": "256-737-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-2000",
            "fax_number": "256-737-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN REGIONAL MEDICAL CENTER PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CULLMAN REGIONAL MEDICAL CENTER",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "EDMISSON",
        "authorized_official_first_name": "JETE",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "256-737-2598"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "10337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529920900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.