MEDICINE BEYOND WALLS, LLC (NPI# 1801199021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801199021 |
Entity Type | Organization |
Organization Name | MEDICINE BEYOND WALLS, LLC |
Practice Address |
995 9th Ave Sw Bessemer AL 35022-4527 |
Mailing Address |
6291 Letson Farms Dr Bessemer AL 35022-7025 |
Practice Telephone | 2054817000 |
Practice Fax Number | 2054818558 |
Mailing Telephone | 2052966464 |
Mailing Fax Number | 2057590931 |
Enumeration Date | 2010-12-09 |
Last Update Date | 2010-12-09 |
Authorized Official Name | ANTONOWSKY DEMEL COLEMAN (PSYCHIATRIST) |
Authorized Official Telephone | 2052966464 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154505386 | Medicine Beyond Walls, LLC | Specialist | 6291 Letson Farms Dr, Bessemer, AL 35022-7025 | 2007-12-24 |
Street Address |
995 9TH AVE SW |
City | BESSEMER |
State | AL |
Zip Code | 35022-4527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235116971 | Steven Craig Smith | Hospitalist | 995 9th Ave Sw, Suite 305, Bessemer, AL 35022-4527 | 2005-12-23 |
1265049431 | Hunter Graveman | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-09-30 |
1932727153 | Sydney Cordell Smith | Dietitian, Registered | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-07-14 |
1083249890 | Kayla Nanice Williams | Nurse Practitioner | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-03-12 |
1982237673 | Molly Reeves | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-02-20 |
1295375186 | Kimberly Ann Phillips | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-01-09 |
1609333947 | Cassidy Machnica Dickson | Physician Assistant | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2019-02-22 |
1457817447 | Zachary Hunter Lane White | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2019-02-14 |
1053875278 | West Jefferson Radiology, LLC | Radiology | 995 9th Ave Sw, Bessemer, AL 35022 | 2019-01-23 |
1144796673 | Southern Neonatal Nurse Practitioners, LLC | Nurse Practitioner | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2018-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962905034 | Bass Assertive Solutions & Support, LLC | Social Worker | 439 Sunbelt Drive, Bessemer, AL 35022 | 2018-03-14 |
1326565383 | Shani Amal Wilson | Nurse Practitioner | 4971 South Shades Crest Road, Helena, AL 35022 | 2017-08-29 |
1881031367 | Jason Lee Clemons | Family Medicine | 2910 Morgan Rd Ste 100, Bessemer, AL 35022 | 2013-05-24 |
1700123445 | West Alabama Therapy | Contractor | 3985 Park Wood Road, Suite 109 #148, Bessemer, AL 35022 | 2013-01-15 |
1922363662 | Casey Hicks | Family Medicine | 1088 9th Ave St, Bessemer, AL 35022 | 2012-07-09 |
1528353992 | Andrew Posey | Family Medicine | 1088 9th Ave Sw Ste 106, Bessemer, AL 35022 | 2011-06-14 |
1386808517 | Caron Givhan Griffin | Social Worker | 975 9th Ave. S.w., Suite 400, Bessemer, AL 35022 | 2008-07-16 |
1366612046 | Leigh Ann Lawrence Clanton | Nurse Practitioner | 6285 Park South Drive, Bessemer, AL 35022 | 2008-03-10 |
1407061906 | Anne K Penhale | Audiologist | 985 Ninth Avenue S W, Suite 308, Bessemer, AL 35022 | 2007-05-10 |
1033270210 | Teresa Newsome Bondurant | Psychologist | 985 9th Ave Southwest, Suite 201 Pob, Bessemer, AL 35022 | 2006-12-12 |
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Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467894592 | Uab School of Medicine | Psychiatric Hospital | Uab School of Medicine, 1702 2nd Ave. S. Fot 1203, Birmingham, AL 35294-3412 | 2013-07-17 |
1225301823 | Behavioral Healthcare Center At Huntsville Inc | Psychiatric Hospital | 5315 Millennium Drive Nw, Huntsville, AL 35806 | 2012-02-14 |
1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
1720270697 | Professional Resources Management Psychiatric Services, LLC | Psychiatric Hospital | 150 Hospital Drive, Luverne, AL 36049 | 2007-08-15 |
1619190998 | State of Alabama Dept of Mental Health & Mental Retardation | Psychiatric Hospital | 2140 Upper Wetumpka Road, Montgomery, AL 36107 | 2007-04-11 |
1437295409 | State of Alabama Dept of Finace | Psychiatric Hospital | 1301 Jack Warner Parkway, Northeast, Tuscaloosa, AL 35404-1060 | 2007-01-29 |
1851485981 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 5980 Highway 159, Fayette, AL 35555-5047 | 2006-10-03 |
1245324342 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 427 Smokey Bear Rd, Hamilton, AL 35570-6514 | 2006-10-03 |
1053405175 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 245 Medical Clinic Dr, Vernon, AL 35592-5232 | 2006-10-03 |
1427066307 | State of Alabama Dept of Finance | Psychiatric Hospital | 725 East Coy Smith Hwy, Mt Vernon, AL 36560 | 2006-08-04 |
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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.