Active NPI
Blountsville Health Center
- Family Medicine Physician
- Blountsville, AL
National Provider Identifier
1639293392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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 HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529907730 | Medicaid | AL |
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.
-
- Family Medicine Physician
- Cullman, AL
- NPI 1508937723
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.