PICKENS COUNTY HEALTH CARE AUTHORITY (NPI# 1134473952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134473952 |
| Entity Type | Organization |
| Organization Name | PICKENS COUNTY HEALTH CARE AUTHORITY |
| Other Organization Name | GORDO PRIMARY CARE CLINIC |
| Practice Address |
27340 Highway 86 Gordo AL 35466-3578 |
| Mailing Address |
Po Box 360 Carrollton AL 35447-0360 |
| Practice Telephone | 2053647135 |
| Practice Fax Number | 2053648244 |
| Mailing Telephone | 2053647135 |
| Mailing Fax Number | 2053648244 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | MRS. REGINA A BEAMS (UNIT LEADER PHYSICIAN SEVICES) |
| Authorized Official Telephone | 2053678111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gordo Primary Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871847418 | Pickens County Health Care Authority | Home Health | 241 Robert K. Wilson Drive, Carrollton, AL 35447 | 2012-11-05 |
| 1306190921 | Pickens County Health Care Authority | Clinic/Center | 289 William E Hill Dr Ste C, Carrollton, AL 35447-3247 | 2012-11-05 |
| 1225382898 | Pickens County Health Care Authority | Psychologist | 241 Robert K Wilson Dr, Carrollton, AL 35447-0241 | 2012-11-05 |
| 1770837395 | Pickens County Health Care Authority | Clinic/Center | 514 10th Ave S W, Reform, AL 35481-0514 | 2012-11-05 |
| 1093069569 | Pickens County Health Care Authority | Emergency Medicine | 241 Robert K Wilson Drive, Carrollton, AL 35447-0478 | 2012-11-05 |
| 1134473770 | Pickens County Health Care Authority | Durable Medical Equipment & Medical Supplies | 96 Court Square, Carrollton, AL 35447 | 2012-11-05 |
| 1316290430 | Pickens County Health Care Authority | Psychiatric Unit | 241 Robert K Wilson Drive, Carrollton, AL 35447-0478 | 2012-10-26 |
| 1043563166 | Pickens County Health Care Authority | Medicare Defined Swing Bed Unit | 241 Robert K Wilson Drive, Carrollton, AL 35447-0478 | 2012-10-26 |
| 1720331481 | Pickens County Health Care Authority | General Acute Care Hospital | 241 Robert K Wilson Dr, Carrollton, AL 35447-0478 | 2012-10-18 |
| Street Address |
27340 HIGHWAY 86 |
| City | GORDO |
| State | AL |
| Zip Code | 35466-3578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114992070 | John E Brandon | Family Medicine | 27340 Highway 86, Gordo, AL 35466 | 2006-02-22 |
| 1194132944 | Katelin Meredith Lisenby | Pharmacist | 27340 Highway 86, Gordo, AL 35466-3578 | 2014-07-14 |
| 1467874354 | Whatley Health Services, Inc | Clinic/Center | 27340 Highway 86, Gordo, AL 35466-3578 | 2014-01-10 |
| 1144668740 | Patricia Diane Stephens | Nurse Practitioner | 27340 Highway 86, Gordo, AL 35466-3578 | 2013-06-05 |
| 1982041463 | Mary Margaret Clapp | Family Medicine | 27340 Highway 86, Gordo, AL 35466-3578 | 2013-05-24 |
| 1508052168 | Earl Ray Stewart Jr. | Family Medicine | 27340 Highway 86, Gordo, AL 35466-3578 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063988806 | Pickens County Primary Care, P.c | Family Medicine | 630 4th St Nw, Gordo, AL 35466 | 2018-10-19 |
| 1194989749 | Timothy Luke Hagler | Dentist | 27290 Hwy 86, Gordo, AL 35466 | 2008-07-14 |
| 1649339797 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 536 Hudson Drive, Gordo, AL 35466 | 2006-12-06 |
| 1467506469 | Pickens County Medical Center | Clinic/Center | 27340 Hwy 86, Gordo, AL 35466 | 2007-01-23 |
| 1598013187 | Encore Rehabilitation, Inc. | Clinic/Center | 219 Industrial Park St, Gordo, AL 35466-2068 | 2012-08-29 |
| 1386284495 | Ellynn Joann Rolett | Specialist/Technologist | 219 Industrial Park St, Gordo, AL 35466-2068 | 2020-01-07 |
| 1770974735 | Brooke Owens | Physical Therapist | 219 Industrial Park St, Gordo, AL 35466-2068 | 2015-02-12 |
| 1699777219 | Medrental Inc | Durable Medical Equipment & Medical Supplies | 25660 Highway 82, Gordo, AL 35466-2261 | 2005-08-12 |
| 1225249493 | Na'toyia Shanay Stewart | Dental Assistant | 327 11th St Se, Gordo, AL 35466-2413 | 2007-05-26 |
| 1669810891 | Mills Pills LLC - Gordo | Pharmacy | 515 Hudson Dr, Gordo, AL 35466-2432 | 2013-06-10 |
| Find all providers in zip 35466 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467506469 | Pickens County Medical Center | Clinic/Center | 27340 Hwy 86, Gordo, AL 35466 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316758 | Modern Health Family Care Practice | Clinic/Center | 13000 Cottonwood Rd, Cottonwood, AL 36320-4280 | 2020-05-01 |
| 1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
| 1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
| 1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
| 1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
| 1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
| 1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
| 1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
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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.