Provider Demographics
NPI:1275260093
Name:NOMAD MEDICAL SERVICES
Entity Type:Organization
Organization Name:NOMAD MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:256-469-0291
Mailing Address - Street 1:5398 MAIN DR
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:AL
Mailing Address - Zip Code:35760-9115
Mailing Address - Country:US
Mailing Address - Phone:256-889-1604
Mailing Address - Fax:256-292-0842
Practice Address - Street 1:5398 MAIN DR
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:AL
Practice Address - Zip Code:35760-9115
Practice Address - Country:US
Practice Address - Phone:256-889-1604
Practice Address - Fax:256-292-0842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care