Attentus Moulton LLC
Organization Active NPI Urgent Care Clinic/Center · Moulton, AL
NPI 1972862837 · NPPES record last updated Mar 28, 2013
Key facts
- NPI
- 1972862837
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- ATTENTUS MOULTON LLC
- Practice address
- 10939 Al Highway 157
Suite C
Moulton, AL 35650-1900 - Phone
- (256) 974-6550
- Fax
- (256) 974-6551
- NPI assigned
- May 14, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- ATTENTUS-MOULTON LLC DBA LAWRENCE MEDICAL CENTER
Authorized official
- Name
- Mr. Bobby Dover
- Title
- Law Co Healthcare Auth BD Secretary
- Phone
- (256) 974-8839
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 4
Practitioners 4
-
Misti Michelle Brown, CRNP
-
Kari Kirby, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050517000324 | AL | Part B Supplier - Clinic/Group Practice | 6406895382 |
Receives reassigned benefits from 33 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Courtland, AL; Moulton, AL |
National Provider Directory
- Tax ID family
- Attentus Moulton LLC
- Part of
- Attentus Moulton LLC
Locations
202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
10939 Al Highway 157
Suite C
Moulton, AL 35650-1900
Mailing address
10939 Al Highway 157
Suite C
Moulton, AL 35650-1900
Phone (256) 974-6550
Other names
- Lawrence Rural Health Clinic/Lawrence Urgent Care Center
Other providers in Moulton, AL
- Laurie A Anders
- Kristen Holly Anderson
- Thomas Hartwell Arnold
- Associated Chiropractic LLC
- Attentus Moulton LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
All providers in Moulton, AL · Urgent Care Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.