Red Bay Hospital Outpatient Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

RED BAY HOSPITAL OUTPATIENT CLINIC

Practice address

211 Hospital Rd
Red Bay, AL 35582-3858

Phone

(256) 356-1134

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Campbell, FACHE

Title

Vice President

Phone

(256) 386-5896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1801224860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823858",
            "telephone_number": "256-356-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BAY HOSPITAL OUTPATIENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "256-386-5896",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Marion Nix, D.D.S.
• Norman Family Health Center, P.C.
• Victor D Norman, M.D.
• Stephen Douglas Ray, D.D.S.
• Raynard Fabianke, Medical Clinic of Red Bay
• Red Bay Opco LLC (RedBay Nursing and Rehab Center)
• Red Bay Pharmacy, LLC.
• Redmont Pharmacy
• Redmont Pharmacy
• Emma Grace Russell

• Rural Health Clinic/Center in Red Bay, AL
• Providers in Red Bay, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.