JEFFERSON COUNTY COMMISSION (NPI# 1467469502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467469502 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY COMMISSION |
| Other Organization Name | COOPER GREEN - MERCY HOSPITAL |
| Practice Address |
1515 6th Ave S Birmingham AL 35233-1601 |
| Practice Telephone | 2059303600 |
| Practice Fax Number | 2059303497 |
| Mailing Telephone | 2059303600 |
| Mailing Fax Number | 2059303497 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SANDRAL HULLETT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2059303600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AL | Hospitals |
| Other Name | Type Code |
|---|---|
| Cooper Green - Mercy Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619046851 | Jefferson County Commission | Pharmacy | 2101 Daniel Payne Dr, Birmingham, AL 35214-4855 | 2006-11-06 |
| 1003806092 | Jefferson County Commission | Durable Medical Equipment & Medical Supplies | 200 N Pine Hill Rd, Birmingham, AL 35217-1215 | 2005-10-21 |
| 1063857209 | Jefferson County Commission | Clinic/Center | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2013-05-01 |
| 1568806453 | Jefferson County Commission | Clinic/Center | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2013-04-22 |
| 1184904492 | Jefferson County Commission | Family Medicine | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2011-08-18 |
| 1518289636 | Jefferson County Commission | Nursing Facility/Intermediate Care Facility | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2010-02-16 |
| 1902036932 | Jefferson County Commission | Psychiatric Unit | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2009-07-24 |
| 1225283518 | Jefferson County Commission | Chiropractor | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2008-12-01 |
| 1982773123 | Jefferson County Commission | Pharmacy | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2006-11-06 |
| 1679513428 | Jefferson County Commission | Pharmacy | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2006-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEFFERSON COUNTY COMMISSION | 100 E Washington St, Charles Town, WV 25414-1072 |
| System for Award Management (SAM) Entities | JEFFERSON COUNTY COMMISSIONERS OFFICE | 217 E Broad St, Louisville, GA 30434-1621 |
| Street Address |
1515 6TH AVE S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213515 | Rasheen Jackson | Pharmacist | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2005-05-27 |
| 1922613181 | Kendall Essig | Registered Nurse | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2020-09-14 |
| 1568081644 | Cooper Green Mercy Health Services Authority An Affiliate of Uab | Pharmacy | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2020-04-09 |
| 1366073108 | Cooper Green Mercy Health Services Authority An Affiliate of Uab | Clinic/Center | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2020-01-30 |
| 1861944944 | Paige Johnson | Nurse Practitioner | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2016-10-25 |
| 1023426244 | Peggy Watson | Nurse Practitioner | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2014-07-31 |
| 1487092839 | Lafayette Tennille Holmes | Nurse Practitioner | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2013-06-07 |
| 1063857209 | Jefferson County Commission | Clinic/Center | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2013-05-01 |
| 1568806453 | Jefferson County Commission | Clinic/Center | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2013-04-22 |
| 1649613274 | Darlene Jones | Nurse Practitioner | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2013-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669753935 | University of Alabama Health Services Foundation, P.C. | General Acute Care Hospital | 619 19th St S, Birmingham, AL 35249-1900 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428301 | Tanner Medical Center Alabama Inc | General Acute Care Hospital | 1032 Main St South, Wedowee, AL 36278-5139 | 2017-07-06 |
| 1669913562 | Monica Page Irons | General Acute Care Hospital | 20075 County Road 14, Florence, AL 35633-0333 | 2017-03-13 |
| 1558762377 | University of Alabama At Birmingham | General Acute Care Hospital | 686 Longwood Way, Gardendale, AL 35071-4106 | 2014-09-11 |
| 1720350473 | Eutaw Medical Center | General Acute Care Hospital | 2109 41st Ct Ne, Tuscaloosa, AL 35404-1511 | 2012-01-27 |
| 1184993727 | Rush Hospital/butler, Inc. | General Acute Care Hospital | 401 Vanity Fair Lane, Butler, AL 36904 | 2011-12-28 |
| 1093812638 | Chris S Fox | General Acute Care Hospital | 7 Holly Hill Rd, Dothan, AL 36305-1150 | 2006-09-17 |
| 1487699203 | Washington County Healthcare Authority, Inc | General Acute Care Hospital | 14600 St Stephens Ave, Chatom, AL 36518 | 2006-06-17 |
| 1275591992 | Roanoke Healthcare Authority | General Acute Care Hospital | 59928 Highway 22, Roanoke, AL 36274-2410 | 2006-05-02 |
| 1831710912 | Washington County Healthcare Authority, Inc | General Acute Care Hospital | 14600 Saint Stephens Ave, Chatom, AL 36518-6711 | 2020-04-30 |
| 1649721853 | Gadsden Regional Medical Center | General Acute Care Hospital | 1007 Goodyear Ave, Gadsden, AL 35903-1195 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
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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.