CAHABA MEDICAL CARE FOUNDATION (NPI# 1316201809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316201809 |
| Entity Type | Organization |
| Organization Name | CAHABA MEDICAL CARE FOUNDATION |
| Practice Address |
195 Hospital Dr Centreville AL 35042-2935 |
| Practice Telephone | 2059262992 |
| Practice Fax Number | 2059262993 |
| Mailing Telephone | 2059262992 |
| Mailing Fax Number | 2059262993 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | DR. JOHN BRYAN WAITS (CEO) |
| Authorized Official Telephone | 2059262992 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE PTAN | 01-1030 | 01 |
| AL | MEDICARE PTAN | 01-1029 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437710183 | Cahaba Medical Care Foundation | Clinic/Center | 1305 Princeton Ave Sw, Birmingham, AL 35211-1544 | 2019-06-24 |
| 1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
| 1881153401 | Cahaba Medical Care Foundation | Clinic/Center | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2019-03-13 |
| 1427514199 | Cahaba Medical Care Foundation | Clinic/Center | 623 8th Ave W, Birmingham, AL 35204-3604 | 2019-02-18 |
| 1316498041 | Cahaba Medical Care Foundation | Clinic/Center | 260 Walnut St, Centreville, AL 35042-2332 | 2016-10-18 |
| 1891165437 | Cahaba Medical Care Foundation | Clinic/Center | 975 9th Ave Sw Ste 210, Bessemer, AL 35022-7839 | 2015-09-25 |
| 1316289515 | Cahaba Medical Care Foundation | Clinic/Center | 405 Belcher St, Centreville, AL 35042-2946 | 2013-03-26 |
| Street Address |
195 HOSPITAL DR |
| City | CENTREVILLE |
| State | AL |
| Zip Code | 35042-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336416288 | Cahaba Medical Care of Al., LLC | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2011-11-21 |
| 1659565786 | Lindsey Giddiens | Nurse Practitioner | 195 Hospital Dr, Centreville, AL 35042-2935 | 2007-08-31 |
| 1225117047 | Cahaba Medical Care, PC | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-11-03 |
| 1437237260 | Teresa Law | Nurse Practitioner | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-11-01 |
| 1144305053 | Coty Darnell Wade | Registered Nurse | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-10-26 |
| 1245260322 | Martin Eugene Truett | Emergency Medicine | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
| 1548305139 | Melody Dawn Randolph | Pharmacist | 1130 Walnut Street, Centreville, AL 35042 | 2007-02-21 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| 1558855387 | Sajel Nuwamanya | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1912491838 | Paul Abraham | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1386138105 | Alexander Lea | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1831683747 | Whitney Hudman | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1639663453 | Julia Todd | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1891289716 | Mya Stayton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1548754419 | Malia Swanson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-14 |
| Find all providers in zip 35042 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316498041 | Cahaba Medical Care Foundation | Clinic/Center | 260 Walnut St, Centreville, AL 35042-2332 | 2016-10-18 |
| 1063876910 | Covered Bridge Healthcare of St. Joseph County Inc | Clinic/Center | 658 E Main St, Centreville, MI 49032-9699 | 2016-04-07 |
| 1780014449 | Community Mental Health Services of St. Joseph County | Clinic/Center | 677 E Main St, Centreville, MI 49032-8524 | 2013-11-17 |
| 1316289515 | Cahaba Medical Care Foundation | Clinic/Center | 405 Belcher St, Centreville, AL 35042-2946 | 2013-03-26 |
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| 1982172367 | Health Services, Inc | Clinic/Center | 3350 S Court St, Montgomery, AL 36105-1606 | 2018-11-05 |
| 1932627858 | Whatley Health Services, Inc. | Clinic/Center | 417 3rd St Se, Aliceville, AL 35442 | 2017-08-30 |
| 1780123372 | Quality of Life Health Services, Inc | Clinic/Center | 404 9th Ave Sw, Lafayette, AL 36862-2806 | 2017-02-16 |
| 1487104691 | Whatley Health Services Inc | Clinic/Center | 142 School Street, Oakman, AL 35579 | 2016-10-12 |
| 1831568237 | Quality of Life Health Services, Inc | Clinic/Center | 1502 11th Ave, Phenix City, AL 36867-4905 | 2015-09-16 |
| 1477939031 | Whatley Health Services, Inc. | Clinic/Center | 3601 Stillman Blvd, Tuscaloosa, AL 35401-2601 | 2015-08-06 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 35042 |
Please comment or provide details below to improve the information on CAHABA MEDICAL CARE FOUNDATION.
| 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.