TMC WOODLAND FAMILY HEALTHCARE, INC. (NPI# 1467600916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467600916 |
Entity Type | Organization |
Organization Name | TMC WOODLAND FAMILY HEALTHCARE, INC. |
Other Organization Name | WOODLAND FAMILY HEALTHCARE |
Practice Address |
76 County Road 64 Suite 3 Woodland AL 36280-5209 |
Mailing Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3857 |
Practice Telephone | 2564492001 |
Practice Fax Number | 2564492174 |
Mailing Telephone | 7708388710 |
Enumeration Date | 2008-09-08 |
Last Update Date | 2014-07-24 |
Authorized Official Name | SUSAN FOX (VP OPERATIONS) |
Authorized Official Telephone | 7708388845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | MD.9389 | AL | Allopathic & Osteopathic Physicians |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | GROUP PTAN | 510G700404 | 01 |
AL | 125316 | 05 | |
AL | 105984 | 05 |
Other Name | Type Code |
---|---|
Woodland Family Healthcare | Doing Business As Name - Organization |
Street Address |
76 COUNTY ROAD 64 SUITE 3 |
City | WOODLAND |
State | AL |
Zip Code | 36280-5209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538162318 | Gregory Levon Hopkins | Family Medicine | 76 County Road 64, Suite 3, Woodland, AL 36280 | 2005-05-24 |
1558790386 | Robert S Svensen | Optometrist | 76 County Road 64, Woodland, AL 36280-5209 | 2013-11-02 |
1194985978 | Dugald Richard Mcmillan IIi | Dentist | 76 County Road 64, Suite I, Woodland, AL 36280-5209 | 2008-06-14 |
1851443691 | Patricia D Harden | Nurse Practitioner | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2007-01-18 |
1548283195 | Jeff Stewart | Family Medicine | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2006-07-25 |
1841210671 | Pamela Carden | Nurse Practitioner | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2006-07-21 |
1649290479 | William Caypless | Physician Assistant | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2006-07-21 |
1760415889 | The Health Care Authority of The Town of Wedowee | Clinic/Center | 76 County Road 64, Woodland, AL 36280-5209 | 2006-07-09 |
1104898824 | Merlyn James Brown | Chiropractor | 76 County Road 64, Suite 4, Woodland, AL 36280-5209 | 2006-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821158882 | James Kevin Hart | Physician Assistant | 76 County Road, Suite 3, Woodland, AL 36280 | 2006-12-11 |
1215381991 | Adam Sparks | Specialist/Technologist | 437 County Road 47, Newell, AL 36280-2511 | 2016-04-19 |
1902198724 | Quality of Life Health Services Inc | Pharmacy | 24460 Highway 48, Woodland, AL 36280-5204 | 2011-05-12 |
1699233114 | Youngs Drug Store LLC | Pharmacy | 24460 Highway 48, Woodland, AL 36280-5204 | 2019-03-04 |
1780214205 | Alexis Young | Student in an Organized Health Care Education/Training Program | 284 County Road 461, Woodland, AL 36280-5864 | 2020-01-23 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
1568915106 | Physicians Care of Grove Hill LLC | Clinic/Center | 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 | 2016-08-01 |
1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
1396125258 | D W Mcmillan Memorial Hospital | Clinic/Center | 1674 Cleveland Ave, Castleberry, AL 36432 | 2015-06-05 |
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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.