FULTONDALE URGENT CARE LLC (NPI# 1063804052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063804052 |
| Entity Type | Organization |
| Organization Name | FULTONDALE URGENT CARE LLC |
| Practice Address |
339 Walker Chapel Plz Suite 115 Fultondale AL 35068-3401 |
| Practice Telephone | 2058412844 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | DOUG RANDALL (COO) |
| Authorized Official Telephone | 2058412844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 169110 | 05 | |
| DOL | 615236400 | 01 | |
| AL | TRICARE SOUTH | 1659697696 | 01 |
| AL | RRMC | DQ4012 | 01 |
| AL | BCBS | 0CXJ1 | 01 |
| Street Address |
339 WALKER CHAPEL PLZ SUITE 115 |
| City | FULTONDALE |
| State | AL |
| Zip Code | 35068-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902996713 | Paul Roberts | Emergency Medicine | 339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3401 | 2006-10-13 |
| 1528534922 | Emily Snider Entrekin | Nurse Practitioner | 339 Walker Chapel Plz, Fultondale, AL 35068-3401 | 2018-10-23 |
| 1376098301 | Daniel Nailor | Nurse Practitioner | 339 Walker Chapel Plz, #115, Fultondale, AL 35068-3401 | 2016-08-19 |
| 1972915437 | Jordan Hammock | Nurse Practitioner | 339 Walker Chapel Plz, Fultondale, AL 35068-3401 | 2014-06-02 |
| 1922334945 | Norwood Clinic, Inc | Radiology | 339 Walker Chapel Plz, Suite 101, Fultondale, AL 35068-3402 | 2009-10-27 |
| 1710195516 | Jason Hugh Stuckey | Radiology | 339 Walker Chapel Plz, Ste. 101, Fultondale, AL 35068-3401 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831406925 | Tracy Carter | Pharmacist | 1713 Us Hwy 31 North, Fultondale, AL 35068 | 2010-09-10 |
| 1013238518 | Daphne Delay Dickinson | Pharmacist | 1713 Decatur Hwy, Rite Aid Pharmacy, Fultondale, AL 35068 | 2010-06-18 |
| 1033443775 | Hematology & Oncology Associates of Alabama | Internal Medicine | 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 | 2009-09-29 |
| 1578735510 | Liza Craven Williams | Pharmacist | 1721 Highway 31 North, Fultondale, AL 35068 | 2008-03-31 |
| 1972787687 | Therapy South LLC - Fultondale | Physical Therapist | 3471 Lowery Parkway, Suite 107, Fultondale, AL 35068 | 2007-12-18 |
| 1285820936 | Justin T Cooke | Family Medicine | 3477 Lowery Pkwy Ste 137, Fultondale, AL 35068 | 2007-09-17 |
| 1013098185 | K. Scot Aiken | Pharmacist | 1721 Hwy. 31 North, Fultondale, AL 35068 | 2006-10-17 |
| 1588767214 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1535 Decatur Hwy, Fultondale, AL 35068 | 2006-09-07 |
| 1477574762 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1721 Us Hwy 31 N, Fultondale, AL 35068 | 2006-07-21 |
| 1821017781 | Family Comfort Hospice LLC | Hospice Care, Community Based | 341 Walker Chapel Plaza, Suite 105, Fultondale, AL 35068 | 2006-07-19 |
| Find all providers in zip 35068 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265624662 | Cascade Health and Wellness | Clinic/Center | 1311 Decatur Hwy, Fultondale, AL 35068-1737 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
| 1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
| 1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
| 1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
| 1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
| 1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
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| City | FULTONDALE |
| Zip Code | 35068 |
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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.