ST VINCENTS AMBULATORY HEALTHCARE NETWORK LLC (NPI# 1033646823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033646823 |
Entity Type | Organization |
Organization Name | ST VINCENTS AMBULATORY HEALTHCARE NETWORK LLC |
Other Organization Name | ST VINCENTS TRUSSVILLE IDTF |
Practice Address |
7201 Happy Hollow Road Trussville AL 35173 |
Mailing Address |
50 Medical Park Dr E Bldg 46, Suite 310, Finance Birmingham AL 35235-3401 |
Practice Telephone | 2058385286 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-09-06 |
Authorized Official Name | BRANDON WILLIAMS (CFO) |
Authorized Official Telephone | 2058383766 |
Is Organization Subpart | Y |
Parent Organization Name | ST. VINCENT'S HEALTH SYSTEM |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
Other Name | Type Code |
---|---|
ST VINCENTS TRUSSVILLE IDTF | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891212494 | St Vincents Ambulatory Healthcare Network LLC | Clinic/Center | 7191 Cahaba Valley Rd Ste 102, Birmingham, AL 35242-6443 | 2017-08-24 |
1982121513 | St Vincents Ambulatory Healthcare Network LLC | Dietitian, Registered | 7191 Cahaba Valley Rd Ste 107, Birmingham, AL 35242-6443 | 2017-08-24 |
1588190441 | St Vincents Ambulatory Healthcare Network LLC | Physiological Laboratory | 7191 Cahaba Valley Rd Ste 104, Birmingham, AL 35242-6443 | 2017-05-11 |
Street Address |
7201 HAPPY HOLLOW ROAD |
City | TRUSSVILLE |
State | AL |
Zip Code | 35173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
1831604479 | Chin Pang Siu | Nurse Practitioner | 7201 Happy Hollow Road, Suite 102, Trussville, AL 35173 | 2017-12-05 |
1245789270 | Stv Primary Care East LLC | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2016-10-03 |
1194138842 | Andrew T Smith | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2014-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982189262 | Walden Brook Schlundt-capps | Nurse Practitioner | 4913 Dearfoot Parkway, Trussville, AL 35173 | 2018-10-02 |
1770064321 | Joyce Yerman Coyle | Pharmacist | 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 | 2018-08-22 |
1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
1770028821 | Angelle Sieg Taylor | Counselor | 3504 Vann Road Suite 100, Trussville, AL 35173 | 2016-12-28 |
1467722694 | Laura Sherrill Barksdale | Nurse Anesthetist, Certified Registered | 300 Bradford Cir, Trussville, AL 35173 | 2012-01-04 |
1740503234 | Lauren C Sineath | Nutritionist | 5257 Stockton Pass, Trussville, AL 35173 | 2010-03-11 |
1386861128 | Michael Lawrence Ryan | Specialist/Technologist | 2053 Enclave Drive, Trussville, AL 35173 | 2007-04-20 |
1346372794 | Brett Stanley Bruce | Dentist | 6995 Gadsden Hwy, Trussville, AL 35173 | 2007-03-12 |
1528100682 | Michael J Sabatini | Pharmacist | 6404 Whitetail Lane, Birmingham, AL 35173 | 2007-02-13 |
1750449542 | Samuel D. Pierce, O.d., P.C. | Optometrist | 133 N. Chalkville Rd, Trussville, AL 35173 | 2006-12-05 |
Find all providers in zip 35173 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922563147 | Alpha Vascular Screenings LLC | Physiological Laboratory | 190 Highland Blvd, Riverside, AL 35135-1050 | 2019-02-01 |
1679099253 | Vuepoint Diagnostics, LLC | Physiological Laboratory | 4268 Cahaba Heights Ct Ste 102, Vestavia, AL 35243-5711 | 2017-08-16 |
1588190441 | St Vincents Ambulatory Healthcare Network LLC | Physiological Laboratory | 7191 Cahaba Valley Rd Ste 104, Birmingham, AL 35242-6443 | 2017-05-11 |
1467623264 | Rural Imaging Southeast LLC | Physiological Laboratory | 781 4th Ave Ste A, York, AL 36925-2103 | 2008-03-19 |
1194934885 | Health Care Investment Group Inc | Physiological Laboratory | 218 W Alabama St, Florence, AL 35630-5516 | 2007-05-21 |
1316063100 | Breathtrac Inc | Physiological Laboratory | 131 Mccalla Rd, Bessemer, AL 35022-5329 | 2007-03-22 |
1295877215 | Premier Medical Development LLC | Physiological Laboratory | 405 E Barbour St Ste 4, Eufaula, AL 36027-1604 | 2007-02-13 |
1851476261 | Childersburg Diagnostic Imaging, LLC | Physiological Laboratory | 30411 Hwy 280, Childersburg, AL 35178 | 2006-10-25 |
1053414847 | Digital Diagnostic Imaging Inc | Physiological Laboratory | 416 W Dr Hicks Blvd, Florence, AL 35630-6101 | 2006-09-07 |
1922017516 | Instant Diagnostic Systems, Inc. | Physiological Laboratory | 1740 4th Ave Se, Suite A, Decatur, AL 35601-5900 | 2006-08-05 |
Find all providers with the same taxonomy |
City | TRUSSVILLE |
Zip Code | 35173 |
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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.