MEDEXPRESS LITTLEVILLE LLC (NPI# 1669830881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669830881 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS LITTLEVILLE LLC |
| Other Organization Name | MEDEXPRESS LITTLEVILLE |
| Practice Address |
1369a George Wallace Hwy Russellville AL 35654-3281 |
| Practice Telephone | 2563319700 |
| Practice Fax Number | 2563312615 |
| Mailing Telephone | 2563319700 |
| Mailing Fax Number | 2563312615 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | VINCENT BONETTI (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Telephone | 2562659641 |
| Is Organization Subpart | Y |
| Parent Organization Name | HH HEALTH SYSTEM - SHOALS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
B1705 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 169067 | 05 |
| Other Name | Type Code |
|---|---|
| MEDEXPRESS LITTLEVILLE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548682578 | Medexpress Littleville LLC | Clinic/Center | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2014-01-10 |
| Street Address |
1369A GEORGE WALLACE HWY |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35654-3281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992071591 | Myra Kay Morissette | Nurse Practitioner | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2012-03-28 |
| 1750942140 | Rural Health Clinics LLC | Family Medicine | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2019-06-26 |
| 1366904187 | Callie Christiann Bowling | Nurse Practitioner | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2019-04-01 |
| 1639609720 | Kevin Paul Bowling | Emergency Medicine | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2017-06-13 |
| 1013306067 | Amy C Woods | Nurse Practitioner | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2015-01-14 |
| 1548682578 | Medexpress Littleville LLC | Clinic/Center | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2014-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154647287 | Jimmy Gregory Lane | Pharmacist | 1369 B George Wallace Highway, Russellville, AL 35654 | 2010-04-14 |
| 1992877484 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 976 Ronnie Mcdowell Ave., Russellville, AL 35654 | 2006-11-14 |
| 1124118310 | Tom Morgan | Chiropractor | 811 Village Wood Drive, Russellville, AL 35654 | 2006-10-16 |
| 1760529580 | Respi-care Inc. | Pharmacy | 976 Ronnie Mcdowell Ave., Russellville, AL 35654 | 2007-01-31 |
| 1386137545 | Littleville Volunteer Fire Department | Ambulance | 1745 Bailey Ln, Russellville, AL 35654-3201 | 2018-06-12 |
| 1952625964 | Family Pharmacy of Littleville Inc | Pharmacy | 1369b George Wallace Hwy, Russellville, AL 35654-3281 | 2010-03-19 |
| 1710116066 | Family Medical Clinic LLC | Nurse Practitioner | 1355 George Wallace Hwy, Russellville, AL 35654-3281 | 2009-07-08 |
| 1033501861 | Kaitlyn Stewart | Occupational Therapist | 1172 County Road 131, Russellville, AL 35654-3415 | 2015-03-03 |
| 1831747443 | As Close As Family of Northwest Alabama | In Home Supportive Care | 944 Ronnie Mcdowell Ave Ste A, Russellville, AL 35654-6513 | 2019-08-27 |
| 1164743985 | Jordan Nicole Reynolds Mayfield | Occupational Therapy Assistant | 369 Isbell Loop, Russellville, AL 35654-7566 | 2010-06-16 |
| Find all providers in zip 35654 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548682578 | Medexpress Littleville LLC | Clinic/Center | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2014-01-10 |
| 1902145188 | Kevin Gerard Kelly | Clinic/Center | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2013-02-07 |
| 1326352873 | Lakeshore Pediatrics of Russellville, PC | Clinic/Center | 603 Gandy St Ne, Russellville, AL 35653-1911 | 2010-07-27 |
| 1932246659 | Logan Memorial Hospital LLC | Clinic/Center | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-01-31 |
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| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
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| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 35654 |
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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.