Provider Demographics
NPI:1215214457
Name:NWMC-WINFIELD PHYSICIAN PRACTICES LLC
Entity type:Organization
Organization Name:NWMC-WINFIELD PHYSICIAN PRACTICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESS
Authorized Official - Middle Name:N
Authorized Official - Last Name:JUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-372-8500
Mailing Address - Street 1:31040 1ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:CARBON HILL
Mailing Address - State:AL
Mailing Address - Zip Code:35549-4152
Mailing Address - Country:US
Mailing Address - Phone:205-924-2224
Mailing Address - Fax:205-924-4077
Practice Address - Street 1:31040 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:CARBON HILL
Practice Address - State:AL
Practice Address - Zip Code:35549-4152
Practice Address - Country:US
Practice Address - Phone:205-924-2224
Practice Address - Fax:205-924-4077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NWMC-WINFIELD PHYSICIAN PRACTICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health