NPIMap

Organization Active NPI

Wiregrass Medical Center

  • Clinic Pharmacy
  • Geneva, AL
National Provider Identifier
1629338223
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
WIREGRASS MEDICAL CENTER
Practice address
1200 W. Maple Ave
Pharmacy Dept.
Geneva, AL 36340
Phone
(334) 684-3655
Fax
(334) 684-1294
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Mr. George Michael Cleveland, RPH.
Title
Pharmacy Director
Phone
(334) 684-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1200 W. Maple Ave
Pharmacy Dept.
Geneva, AL 36340

Mailing address

1200 W. Maple Ave
Pharmacy Dept.
Geneva, AL 36340
Phone (334) 684-3655

Other identifiers 1

IdentifierTypeStateIssuer
HOS0062HMedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Geneva County Healthcare Authority Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/wire-a732968d

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1629338223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W. MAPLE AVE",
            "address_2": "PHARMACY DEPT.",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "36340",
            "telephone_number": "334-684-3655",
            "fax_number": "334-684-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W. MAPLE AVE",
            "address_2": "PHARMACY DEPT.",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "36340",
            "telephone_number": "334-684-3655",
            "fax_number": "334-684-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "334-684-3655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0062H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.