Russellville City

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

RUSSELLVILLE CITY

Practice address

1945 Waterloo Rd
Russellville, AL 35653-5432

Phone

(256) 331-2001

NPI assigned

Jun 29, 2007

Last updated

Aug 22, 2020By 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

Dr. Wayne T Ray

Title

Superintendent

Phone

(256) 331-2001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609073857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 WATERLOO RD",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356535432",
            "telephone_number": "256-331-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 WATERLOO RD",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356535432",
            "telephone_number": "256-331-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "256-331-2001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rousseau Dental Care
• Rural Health Clinics LLC (Bowling Family Medical Clinic)
• Rural Health Clinics LLC (Bowling Family Medical Clinic)
• Russellville Dental Care, P.C.
• Russellville Diagnostics Center, LLC
• Russellville Family Dentistry LLC
• Russellville Health Care, LLC
• Russellville Hospital Inc (Russellville Hospital Medical Clinic)

• Local Education Agency (LEA) in Russellville, AL
• Providers in Russellville, AL by specialty
• Local Education Agency (LEA) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.