CRESTWOOD HEALTHCARE LP (NPI# 1023061496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023061496 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD HEALTHCARE LP |
| Other Organization Name | CRESTWOOD MEDICAL CENTER |
| Practice Address |
1 Hospital Dr Sw Huntsville AL 35801-6455 |
| Mailing Address |
Po Box 849007 Dallas TX 75284-9007 |
| Practice Telephone | 2568823100 |
| Practice Fax Number | 2568804246 |
| Mailing Telephone | 2568823100 |
| Mailing Fax Number | 2568804246 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
H4501 | AL | Ambulatory Health Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | H4501 | AL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | HOS010131H | 05 |
| Other Name | Type Code |
|---|---|
| Crestwood Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609422112 | Crestwood Healthcare Lp | Clinical Medical Laboratory | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2019-08-12 |
| 1457370470 | Crestwood Healthcare Lp | Family Medicine | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2006-07-19 |
| Street Address |
1 HOSPITAL DR SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696128 | Gail L Bundow | Emergency Medicine | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2005-06-01 |
| 1821622507 | Janae Hatcher | Nurse Anesthetist, Certified Registered | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2020-03-03 |
| 1568009074 | Crestwood Occupational Medicine/convenient Care | Preventive Medicine | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2019-12-03 |
| 1609422112 | Crestwood Healthcare Lp | Clinical Medical Laboratory | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2019-08-12 |
| 1386204618 | William J Mccain | Nurse Practitioner | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2019-06-18 |
| 1477110435 | Susanna Payton Dunlap | Nurse Practitioner | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2019-05-24 |
| 1275196636 | Stacy R Mcgee | Registered Nurse | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2019-04-20 |
| 1578059028 | Tammie Jo Vanstory | Registered Nurse | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2018-07-09 |
| 1073009536 | Alan Michael Richardson | Registered Nurse | 1 Hospital Dr Sw, Huntsville, AL 35801 | 2018-07-09 |
| 1427549823 | Eunjoung K Bordenski | Nurse Practitioner | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2018-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225699 | Walker County Hospital Corporation | General Acute Care Hospital | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2005-06-20 |
| 1245878990 | Huntsville Community Hospital, Inc. | General Acute Care Hospital | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2019-12-12 |
| 1770035099 | Hh Health System - Tennessee | General Acute Care Hospital | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2016-11-03 |
| 1932554086 | Michael Alexander Richardson | General Acute Care Hospital | 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801-5177 | 2016-04-26 |
| 1053738062 | Travis Satterfield | General Acute Care Hospital | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2014-03-27 |
| 1598191694 | Managed Health Care Administration, Inc | General Acute Care Hospital | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2013-09-20 |
| 1477895449 | Danielle Marie Roderick | General Acute Care Hospital | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2013-03-18 |
| 1396019550 | Huntsville Neurology | General Acute Care Hospital | 333 Whitesport Drive, Suite 300, Huntsville, AL 35801-3455 | 2012-03-05 |
| 1992931109 | Crestwood Medical Center | General Acute Care Hospital | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2009-06-02 |
| 1447221056 | The Health Care Authority of The City of Huntsville | General Acute Care Hospital | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2006-01-31 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.