Infirmary ASC - Fairhope, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INFIRMARY ASC - FAIRHOPE, LLC

Practice address

411 N Section St
Fairhope, AL 36532-2649

Phone

(614) 374-6496

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Carla Evans

Title

RVP of Ops

Phone

(614) 374-6496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Infirmary ASC Fairhope LLC Dba Fairhope Surgery CenterCCN 01C0001045

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fairhope Gastroenterology, LLC

  • Medical Specialty Clinic/Center
  • Fairhope, AL
  • NPI 1578106621

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1699421024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 CROSSWOODS BLVD",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-550-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322649",
            "telephone_number": "614-374-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFIRMARY ASC - FAIRHOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "RVP OF OPS",
        "authorized_official_telephone_number": "614-374-6496"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Imc-Gulf Coast Gastroenterology LLC
• Infiniti Health LLC
• Infirmary Therapy Services
• Integrative Medicine Centre LLC
• Interface Medical Consulting LLC
• Cynthia Ann Irvine, LPC
• Kelly Gilreath Ison, MD

• Ambulatory Surgical Clinic/Center in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.