CORIZON HEALTHCARE (NPI# 1770020372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770020372 |
| Entity Type | Organization |
| Organization Name | CORIZON HEALTHCARE |
| Practice Address |
2690 Marion Spillway Rd Elmore AL 36025-1531 |
| Practice Telephone | 3345672221 |
| Mailing Telephone | 3345672221 |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2017-01-21 |
| Authorized Official Name | ANITA WILSON (PHYSICAN) |
| Authorized Official Telephone | 3342079988 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
1-107743 | AL | Ambulatory Health Care Facilities |
| Street Address |
2690 MARION SPILLWAY RD |
| City | ELMORE |
| State | AL |
| Zip Code | 36025-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193344 | Lucy Thuo | Nurse Practitioner | 2690 Marion Spillway Rd, Elmore, AL 36025-1531 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881114783 | Sharnese Danielle Thompson | Occupational Therapist | 280 Mt. Hebron Road, Elmore, AL 36025 | 2017-06-21 |
| 1629283080 | Frank Lambert Wright | Dentist | 2690 Marion Spillway Road, Elmore, AL 36025 | 2007-05-11 |
| 1750498341 | Air Evac Ems Inc. | Ambulance | 1155 Al Hwy 14, Elmore, AL 36025 | 2006-08-23 |
| 1306199682 | Family & Therapeutic Services | Community/Behavioral Health | 208 Quail Ridge Rd, Elmore, AL 36025-1006 | 2012-10-23 |
| 1093330664 | Laura B Boley | Social Worker | 208 Quail Ridge Rd, Elmore, AL 36025-1006 | 2020-06-10 |
| 1124594866 | Valerie Deloris Gamble | Counselor | 208 Quail Ridge Rd, Elmore, AL 36025-1006 | 2018-10-21 |
| 1740455617 | Jennifer Lynn Wilson | Nurse Practitioner | 199 Lake Bend Dr, Elmore, AL 36025-1058 | 2008-04-23 |
| 1952569170 | Tamika S Francis | Speech-Language Pathologist | 495 Brownstone Loop, Elmore, AL 36025-1072 | 2008-05-23 |
| 1104876226 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2006-05-11 |
| 1447881800 | Charity Bibb | Occupational Therapist | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2020-02-03 |
| Find all providers in zip 36025 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962671537 | Mobile County Board of Health | Clinic/Center | 248 Cox St Ste A, Mobile, AL 36604-3303 | 2008-02-27 |
| 1578919890 | Mobile County Board of Health | Clinic/Center | 19260 N Mobile St, Citronelle, AL 36522-2122 | 2016-05-05 |
| 1659540029 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2008-02-29 |
| 1851560221 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2008-02-29 |
| 1104095579 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2008-02-29 |
| 1720257199 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2008-02-29 |
| 1013186642 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2008-02-28 |
| 1780864462 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2007-11-09 |
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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.