Winston County Medical Clinic 2

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

18982 Issued in AL

Legal business name

WINSTON COUNTY MEDICAL CLINIC 2

Practice address

15341 Highway 278
Double Springs, AL 35553-2407

Phone

(205) 489-3322

Fax

(205) 789-3325

NPI assigned

May 29, 2007

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernard SimieritschNPI 1821080565

Title

Owner

Phone

(205) 489-3322

Specialties & licenses 1

Addresses

Tax ID family

Bernard William Simieritsch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bernard William Simieritsch

  dba Winston County Medical Clinic

  • Family Medicine Physician
  • Double Springs, AL
  • NPI 1346233640
  NPD tax ID

Locations

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.

• Bernard William Simieritsch, MD

  • Family Medicine Physician
  • Double Springs, AL
  • NPI 1821080565
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1588865570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15341 HIGHWAY 278",
            "city": "DOUBLE SPRINGS",
            "state": "AL",
            "postal_code": "355532407",
            "telephone_number": "205-489-3322",
            "fax_number": "205-789-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15341 HIGHWAY 278",
            "city": "DOUBLE SPRINGS",
            "state": "AL",
            "postal_code": "355532407",
            "telephone_number": "205-489-3322",
            "fax_number": "205-789-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON COUNTY MEDICAL CLINIC 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SIMIERITSCH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-489-3322"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": "18982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winston County Health Dept-Double Springs Mat CM
• Winston County Health Dept-Double Springs Pat 1St CM
• Winston County Health Dept-Double Springs Prev Health Ed
• Winston County Health Dept-Double Springs Pri Care
• Winston County Health Dept-Double Springs VFC Immun

• Rural Health Clinic/Center in Double Springs, AL
• Providers in Double Springs, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.