CENTERAL ALABAMA VETERANS HEALTH CARE SYSTEM (NPI# 1790889053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790889053 |
| Entity Type | Organization |
| Organization Name | CENTERAL ALABAMA VETERANS HEALTH CARE SYSTEM |
| Practice Address |
215 Perry Hill Rd Montgomery AL 36109-3725 |
| Mailing Address |
850 Wingard St Prattville AL 36066-5828 |
| Practice Telephone | 3342724670 |
| Practice Fax Number | 3342736227 |
| Mailing Telephone | 3343651030 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS TRACEY ELAINE THORNTON (CLINICAL DIETITIAN) |
| Authorized Official Telephone | 3342724670 |
| Authorized Official Credential | RD/LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
80 | AL | Ambulatory Health Care Facilities |
| Street Address |
215 PERRY HILL RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36109-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642161 | Lydia Lane Jackson | Physician Assistant | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2005-10-07 |
| 1275142267 | Perry Salter Thompson | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-27 |
| 1881212538 | John Thomas Weaver Jr. | Respiratory Therapist, Registered | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-09 |
| 1639797376 | Samuel David Drew Sr. | Respiratory Therapist, Registered | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-09 |
| 1043838907 | Valerie T Mcghee | Respiratory Therapist, Registered | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-08 |
| 1992323802 | Robin Lee Vuckovich | Respiratory Therapist, Registered | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-07 |
| 1063030971 | Bridgette Elaine Luna | Respiratory Therapist, Certified | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-07-07 |
| 1346864584 | Luke Michael Sicilia | Student in an Organized Health Care Education/Training Program | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-06-03 |
| 1225652456 | Roger Allen Hunt Jr. | Student in an Organized Health Care Education/Training Program | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-06-03 |
| 1780218818 | Nicole Dean | Nurse Practitioner | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
| 1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
| Find all providers in zip 36109 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144423617 | United States Army Aeromedical Center | Clinic/Center | 4405 Innkeeper Street, Fort Rucker, AL 36362 | 2007-06-11 |
| 1932122314 | United States Army Aeromedical Center | Clinic/Center | 301 Andrews Rd, Fort Rucker, AL 36362 | 2006-07-25 |
| 1396738944 | Maxwell Afb Ambulatory Health Care Center | Clinic/Center | 300 S. Twining Street, Bldg 760, Family Practice - Yellow Team, Maxwell Afb, AL 36112 | 2005-08-30 |
| 1821410242 | Lyster Army Health Clinic | Clinic/Center | Lyster Army Health Clinic, Building 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2014-01-21 |
| 1033532486 | Lyster Army Health Clinic | Clinic/Center | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-01-21 |
| 1033541156 | Us Coast Guard | Clinic/Center | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| 1760673784 | U. S. Coast Guard Aviation Training Center Mobile | Clinic/Center | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2007-08-05 |
| 1871796334 | Fox Army Health Center | Clinic/Center | 4100 Goss Rd Sw, Usadc-1, Huntsville, AL 35809-0001 | 2007-06-11 |
| City | MONTGOMERY |
| Zip Code | 36109 |
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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.