St. Vincent'S Family Care - Blountsville, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ST. VINCENT'S FAMILY CARE - BLOUNTSVILLE, LLC

Practice address

68278 Main St
Blountsville, AL 35031-3370

Phone

(205) 429-0051

NPI assigned

Dec 7, 2010

Organization subpart

Yes

Parent organization

UNIVERSAL HEALTH SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Sean Tinney

Title

President

Phone

(205) 274-3001

Specialties & licenses 1

Addresses

Part of

Universal Health SVCS

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1861795387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68278 MAIN ST",
            "city": "BLOUNTSVILLE",
            "state": "AL",
            "postal_code": "350313370",
            "telephone_number": "205-429-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68278 MAIN ST",
            "city": "BLOUNTSVILLE",
            "state": "AL",
            "postal_code": "350313370",
            "telephone_number": "205-429-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT'S FAMILY CARE - BLOUNTSVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSAL HEALTH SERVICES",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "TINNEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-274-3001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marybeth Dawicki, LPC
• Melanie B Gardner, M.D.
• Premier Family Care Blountsville, LLC
• Premier Family Care Blountsville, LLC
• Anthony Dale Skellett III
• The Health Sense, LLC
• Town of Blountsville
• Windy Jo Wisener, CRNP

• Primary Care Clinic/Center in Blountsville, AL
• Providers in Blountsville, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.