Cooper Green Mercy Health Services Authority An Affiliate of Uab
NPI 1366073108ActiveOrganization· Clinic/Center· Birmingham, AL
Clinic/Center in Birmingham, Alabama, registered in NPPES in January 2020. The authorized official on file is Steve Payne, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366073108 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2020 |
| Last updated in NPPES | Dec 16, 2024 |
| Certified by provider | Dec 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Clinic/Center, Federally Qualified Health Center (FQHC) | 261QF0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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