WHITE MOUNTAIN PAIN CLINIC, PLLC (NPI# 1972046803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972046803 |
Entity Type | Organization |
Organization Name | WHITE MOUNTAIN PAIN CLINIC, PLLC |
Other Organization Name | THE ALLEN FAMILY IRREVOCABLE TRUST |
Practice Address |
5721 5th Ct S Birmingham AL 35212-3211 |
Mailing Address |
Po Box 531166 Mountain Brook AL 35253-1166 |
Practice Telephone | 2055670832 |
Mailing Telephone | 2055670832 |
Enumeration Date | 2016-11-25 |
Last Update Date | 2016-11-26 |
Authorized Official Name | JOHN C ALLEN (GRANTOR) |
Authorized Official Telephone | 2055670832 |
Authorized Official Credential | M.S., D.A.A.E.T. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
1-083260 | AL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The Allen Family Irrevocable Trust | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154613586 | White Mountain Pain Clinic, Pllc | Clinic/Center | 114 S Mountain Ave, Springerville, AZ 85938-5104 | 2011-05-04 |
Street Address |
5721 5TH CT S |
City | BIRMINGHAM |
State | AL |
Zip Code | 35212-3211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063455541 | John Clifford Allen | Registered Nurse | 5721 5th Ct S, Birmingham, AL 35212-3211 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992200448 | Ford's Family Dentistry | Dentist | 6 61st Street North, Birmingham, AL 35212 | 2018-03-27 |
1821347766 | Belynda Jo Adams | Nurse Practitioner | 6869 Fifth Avenue South, Hillcrest Behavioral Health Services, Birmingham, AL 35212 | 2012-09-06 |
1487914198 | Elaine Frances Sides | Dentist | 5720 First Avenue South, Birmingham, Birmingham, AL 35212 | 2012-05-29 |
1043460835 | Crossroads To Intervention, Inc | Community/Behavioral Health | 5601 1st Avenue North, Suite 107, Birmingham, AL 35212 | 2008-09-29 |
1265603823 | Benjamin D. Williams Dmd Pa | Dentist | 100 57th St So, Birmingham, AL 35212 | 2008-03-21 |
1972989770 | Jordan Wulz | Pharmacist | 5720 1st Ave S, Birmingham, AL 35212 | 2015-08-04 |
1770907941 | Ryan Richmond | General Practice | 6000 West Highway 98, Pensacola, FL 35212 | 2014-02-09 |
1447287800 | Hc Partnership | Psychiatric Residential Treatment Facility | 6869 5th Avenue South, Birmingham, AL 35212 | 2006-06-28 |
1265621809 | Shannon Maureen Hartley | Psychologist | 6869 5th Ave South, Birmingham, AL 35212-1866 | 2007-10-19 |
1891800330 | Delicia D Harvey | Counselor | 6869 5th Ave S, Birmingham, AL 35212-1866 | 2006-08-21 |
Find all providers in zip 35212 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134529308 | Dds | Clinic/Center | 2650 Rocky Ridge Ln, Birmingham, AL 35216-4810 | 2014-08-25 |
1023418027 | Robert Gunter Haas Sr. | Clinic/Center | 2650 Rocky Ridge Ln, Birmingham, AL 35216-4810 | 2014-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235506338 | Med-i-fit Enterprises 1 LLC | Clinic/Center | 1849 Data Dr, Suite 1, Hoover, AL 35244-1202 | 2015-08-25 |
1669853560 | Rivertown Health and Wellness, LLC | Clinic/Center | 113 Rainbow Industrial Blvd Ste B, Rainbow City, AL 35906-8901 | 2015-06-16 |
1215328497 | Primary Care and Pain Management Clinic LLC | Clinic/Center | 5415 Beacon Dr, Suite 163, Irondale, AL 35210-2860 | 2015-02-10 |
1205246709 | Hishak Hakim M.d., M.p.h., P.C. | Clinic/Center | 202 Medical Park Ofc Park, Talladega, AL 35160-2213 | 2014-05-06 |
1518102912 | Minormedcare, Inc. | Clinic/Center | 5215 Highway 90 W, Suite A, Mobile, AL 36619-4230 | 2008-12-13 |
1871146555 | Dynamic Pain & Wellness Pllc | Clinic/Center | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2019-07-22 |
1104370956 | Complex Solutions LLC | Clinic/Center | 3015 Steele Station Rd, Rainbow City, AL 35906-8722 | 2016-08-10 |
1437525557 | North Alabama Pain Services | Clinic/Center | 1852 Beltline Rd Sw, Decatur, AL 35601-5518 | 2015-08-12 |
1225428261 | Pain Specialists of Gadsden, Inc | Clinic/Center | 1026 Goodyear Ave, Bld 400 Suite 301, Gadsden, AL 35903-1102 | 2015-01-29 |
1154690204 | Huntsville Pain Management, Inc. | Clinic/Center | 185 Chateau Dr Sw, Suite 302, Huntsville, AL 35801-7416 | 2011-12-19 |
Find all providers with the same taxonomy |
City | BIRMINGHAM |
Zip Code | 35212 |
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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.