NPIMap

Organization Active NPI

Sand Mountain Infusion LLC

  • Infusion Therapy Clinic/Center
  • Albertville, AL
National Provider Identifier
1740923689
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
SAND MOUNTAIN INFUSION LLC
Practice address
209 San Mountain Drive East
Suite 200
Albertville, AL 35950-2327
Phone
(256) 878-2111
Fax
(256) 878-8999
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Steven Parker Brindley
Title
Owner
Phone
(256) 878-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

209 San Mountain Drive East
Suite 200
Albertville, AL 35950-2327

Mailing address

209 San Mountain Drive East
Suite 200
Albertville, AL 35950-2327
Phone (256) 878-2111

Other names 1

  • Sand Mountain Infusion Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220517001594 AL Part B Supplier - Clinic/Group Practice 1153708946 Receives reassigned benefits from 2 practitioners
Practice locations: Albertville, AL

National Provider Directory

National Provider Directory

Locations

209 Sand Mountain Dr E
Ste 200
Albertville, AL 35950
Phone (256) 878-2111

Practitioners & affiliated clinicians

Practitioners 2

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": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1740923689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SAN MOUNTAIN DRIVE EAST",
            "address_2": "SUITE 200",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502327",
            "telephone_number": "256-878-2111",
            "fax_number": "256-878-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SAN MOUNTAIN DRIVE EAST",
            "address_2": "SUITE 200",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502327",
            "telephone_number": "256-878-2111",
            "fax_number": "256-878-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND MOUNTAIN INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "BRINDLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-878-2111"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sand Mountain Infusion Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sand Mountain Infusion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.