Organization Active NPI

Phifer Incorporated

  • Primary Care Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1700549300
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PHIFER INCORPORATED
Practice address
3702 Trevor Phillips Ave
Tuscaloosa, AL 35401-7050
Phone
(205) 750-4330
Fax
(205) 345-1549
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Mrs. Teresa Ann Jacobs, RN
Title
Clinic Supervisor
Phone
(205) 750-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3702 Trevor Phillips Ave
Tuscaloosa, AL 35401-7050

Mailing address

4400 Kauloosa Ave
Tuscaloosa, AL 35401-7042
Phone (205) 750-4448

Other names 1

  • PhiferCares Clinic Other name

National Provider Directory

National Provider Directory

Locations

4400 Kauloosa Ave
Tuscaloosa, AL 35401

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": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1700549300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 KAULOOSA AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017042",
            "telephone_number": "205-750-4448",
            "fax_number": "205-750-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 TREVOR PHILLIPS AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017050",
            "telephone_number": "205-750-4330",
            "fax_number": "205-345-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIFER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC SUPERVISOR",
        "authorized_official_telephone_number": "205-750-4330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhiferCares Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PhiferCares Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.