NPIMap

Organization Active NPI

Addison Health Center

  • Health Service Clinic/Center
  • Addison, AL
National Provider Identifier
1932190667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ADDISON HEALTH CENTER
Practice address
30795 Highway 278
Addison, AL 35540-2201
Phone
(256) 747-8100
Fax
(256) 747-8199
NPI assigned
Nov 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jete Edmisson
Title
Vice President of Finance
Phone
(256) 737-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

30795 Highway 278
Addison, AL 35540-2201

Mailing address

30795 Highway 278
Addison, AL 35540-2201
Phone (256) 747-8100

National Provider Directory

National Provider Directory
Tax ID family
Cullman Reg Medblount SP12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932190667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30795 HIGHWAY 278",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "355402201",
            "telephone_number": "256-747-8100",
            "fax_number": "256-747-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 HIGHWAY 278",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "355402201",
            "telephone_number": "256-747-8100",
            "fax_number": "256-747-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDMISSON",
        "authorized_official_first_name": "JETE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "256-737-2595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.