Luverne Health Clinic, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

6744 Issued in AL

Legal business name

LUVERNE HEALTH CLINIC, P.A.

Practice address

39 Roy Beall Dr
Luverne, AL 36049-6805

Phone

(334) 335-6515

Fax

(334) 335-2105

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Samuel Patrick Walker, M.D.NPI 1639258254

Title

President

Phone

(334) 335-6515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Samuel Patrick Walker Sr., M.D.

  • Internal Medicine Physician
  • Luverne, AL
  • NPI 1639258254

  AL, Internal Medicine

  Medicare reassignment NPD Authorized official
• Samuel Patrick Walker Jr., D.O.

  • Internal Medicine Physician
  • East Liverpool, OH
  • NPI 1255685152

  AL, Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1659539435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360490407",
            "telephone_number": "334-335-6515",
            "fax_number": "334-335-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ROY BEALL DR",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360496805",
            "telephone_number": "334-335-6515",
            "fax_number": "334-335-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUVERNE HEALTH CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-335-6515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "6744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000006567",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry J Kim, M.D.
• Jane W. Lamb, O.D.
• Vicki Law
• Lilymaze Healthcare LLC.
• Luverne Health and Rehabilitation, LLC
• Luverne Rescue Squad
• Michael Stephen Maddox, RPT
• Melissa Mikul, PA
• Amy Hilburn Mills, CRNP
• Brandi Norman

• All providers in Luverne, AL
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.