Organization Active NPI

Blountsville Health Center

  • Family Medicine Physician
  • Blountsville, AL
National Provider Identifier
1639293392
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLOUNTSVILLE HEALTH CENTER
Practice address
68278 Main St
Blountsville, AL 35031-3370
Phone
(205) 429-4151
Fax
(205) 729-4604
NPI assigned
Mar 19, 2007
Organization subpart
Yes
Parent organization
CULLMAN REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Norma Pannell
Title
Credentials
Phone
(256) 737-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

68278 Main St
Blountsville, AL 35031-3370

Mailing address

PO Box 13128
Birmingham, AL 35202-3128
Phone (205) 715-5904

Other identifiers 1

IdentifierTypeStateIssuer
529907730MedicaidAL

National Provider Directory

National Provider Directory
Part of
Blountsville Health Center

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1639293392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13128",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352023128",
            "telephone_number": "205-715-5904",
            "fax_number": "205-715-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68278 MAIN ST",
            "city": "BLOUNTSVILLE",
            "state": "AL",
            "postal_code": "350313370",
            "telephone_number": "205-429-4151",
            "fax_number": "205-729-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOUNTSVILLE HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CULLMAN REGIONAL HOSPITAL",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "CREDENTIALS",
        "authorized_official_telephone_number": "256-737-2882"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529907730",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.