Coldwater Healthcare LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

COLDWATER HEALTHCARE LLC

Practice address

130 Keller Park Blvd
Tuscumbia, AL 35674-1416

Phone

(256) 381-0085

Fax

(256) 381-0907

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer L Lawson, ACNP

Title

Owner/Acnp-BC

Phone

(256) 381-0085

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1659887883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741416",
            "telephone_number": "256-381-0085",
            "fax_number": "256-381-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741416",
            "telephone_number": "256-381-0085",
            "fax_number": "256-381-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDWATER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ACNP-BC",
        "authorized_official_telephone_number": "256-381-0085",
        "authorized_official_credential": "ACNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bush, MA-CCC/SLP
• Changing Gears Behavioral Health and Services, LLC
• Yolanda Perdue Clark, OTR
• Colbert County
• Colbert County Family Practice
• Angel A Cooke
• Michelle Cornelius
• Tina Countiss
• Charles Michael Cowley, DDS
• Elizabeth Cox, RN

• Health Service Clinic/Center in Tuscumbia, AL
• Providers in Tuscumbia, AL by specialty
• Health Service Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.